NPI | 1114426368 |
---|---|
Entity Type | Organization |
Authorized Contact | KENT J STURHAHN Dentist 217-257-0386 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2018-02-02 |
Last Update Date | 2023-11-02 |