| NPI | 1053893586 |
|---|---|
| Other Name | KNOX FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | COLLIN PETOSKEY Dentist/Owner 309-738-6224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019030409) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |