NPI | 1922211929 |
---|---|
Doing Business As | REFLECTION DENTAL LITTLE RIVER |
Entity Type | Organization |
Authorized Contact | CARMEN WOODS Ins Cood 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-05-07 |
Last Update Date | 2014-01-11 |