NPI | 1982726600 |
---|---|
Doing Business As | CROWFIELD DENTAL |
Entity Type | Organization |
Authorized Contact | HANNAH FISH Credentialing Manager 217-540-5699 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-04-04 |
Last Update Date | 2023-06-21 |