NPI | 1164888483 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT C SEHRING CEO 309-655-2850 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 0.18001974) |
Enumeration Date | 2016-01-04 |
Last Update Date | 2024-03-18 |