| NPI | 1184728768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM SHAFER Orthodontist/Owner 217-356-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 19022993) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2008-06-18 |