| NPI | 1083802524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOSEPH RUBIS President/Owner 815-483-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19016647) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |