NPI | 1912251034 |
---|---|
Doing Business As | DENTAL CARE OF SPRINGFIELD |
Entity Type | Organization |
Authorized Contact | CARMEN WOODS Insurance/Credentialing 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-10-29 |
Last Update Date | 2014-01-11 |