NPI | 1972712289 |
---|---|
Doing Business As | ARLINGTON RIVER FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | PAM HARDIEK Insurance/Credentialing 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 10849) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2011-10-19 |