| NPI | 1992025134 |
|---|---|
| Doing Business As | INDEPENDENCE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | CARMEN WOODS Insurance Coordinator 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2014-01-11 |