NPI | 1982277638 |
---|---|
Doing Business As | AMERICA'S FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | TABATHA LEMKE Credentialing Corodinator 217-540-6078 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-07-21 |
Last Update Date | 2021-07-21 |