| NPI | 1962858969 | 
|---|---|
| Doing Business As | CLAIRMONT COSMETIC & FAMILY DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | HEATHER PRUEMER Insurance/Credentialing 217-540-8434  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2016-05-09 | 
| Last Update Date | 2016-06-22 |