NPI | 1952159618 |
---|---|
Doing Business As | VALLEY VIEW DENTAL CARE |
Entity Type | Organization |
Authorized Contact | CEMYIRA MCDOUGAL Credentialing COO Rdinator 217-764-8609 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2024-05-08 |
Last Update Date | 2024-05-17 |