| NPI | 1114175940 |
|---|---|
| Doing Business As | FAMILY DENTISTRY OF WOODSTOCK |
| Entity Type | Organization |
| Authorized Contact | ROBERT EUGENE HARADEN President 815-338-0690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |