| NPI | 1942577580 |
|---|---|
| Doing Business As | NEIBAUER DENTAL CARE - GARRISONVILLE |
| Entity Type | Organization |
| Authorized Contact | KAM SHICK Insurance COO Rdinator 217-540-5141 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |