| NPI | 1023430360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHIANNON MICHELLE HOLCOMBE Pediatric Dentist 815-267-7299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019027249) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2015-03-24 |