NPI | 1942883525 |
---|---|
Doing Business As | CU DENTIST LTD |
Entity Type | Organization |
Authorized Contact | ROBERT BENJAMIN SCOTT Owner/President 217-352-5088 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2021-05-03 |
Last Update Date | 2024-02-01 |