NPI | 1982931390 |
---|---|
Doing Business As | WHISPERING OAKS FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JASMINE REARDON Credentialing Coordinator 217-540-8330 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22472) |
Enumeration Date | 2009-11-05 |
Last Update Date | 2015-12-08 |