| NPI | 1073667184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J TONNE President 815-273-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19-14419) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |