Familia Dental Champaign LLC
NPI #1982094462 in Champaign, Illinois
Provider Information
- NPI Number
- 1982094462
- Entity Type
- Organization
- Organization Name
- Familia Dental Champaign LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 4, 2015
- Last Updated
- Jun 25, 2021
Practice Location
Authorized Official
- Name
- MR. BRANDON ALEXANDER TAYLOR, CPCS
- Title
- CREDENTIALING PAYER RELATIONS MGR
- Phone
- (847) 453-7396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - General Practice — General Practice |
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