| NPI | 1962674788 |
|---|---|
| Doing Business As | COMMUNITY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LAUREN CRIPPS Dentist 618-453-2353 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: IL 019024395) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2021-09-24 |