| NPI | 1235592049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBI J. LAUN Pediatric Dentist/Owner 815-434-6447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 021.002684) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |