| NPI | 1992563696 |
|---|---|
| Doing Business As | ADVANCED DENTAL CARE OF CICERO |
| Entity Type | Organization |
| Authorized Contact | DENISE BEVER Regional Manager 317-509-6499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |