NPI | 1992848964 |
---|---|
Doing Business As | ASSOCIATED DENTAL CARE SUN CITY |
Entity Type | Organization |
Authorized Contact | HANNAH FISH Credentialing Manager 217-540-5699 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-02-15 |
Last Update Date | 2023-09-18 |