NPI | 1912339987 |
---|---|
Doing Business As | FAMILY DENTAL AT ALAFAYA CROSSINGS |
Entity Type | Organization |
Authorized Contact | ALLISON VARNER Credentialing Coordinator 217-540-6077 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20167) |
Enumeration Date | 2013-08-01 |
Last Update Date | 2013-08-01 |