| NPI | 1942364930 |
|---|---|
| Doing Business As | ST. MATHEWS DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KIM A ZUBER Cred Supervisor 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2017-01-16 |