| NPI | 1245353606 |
|---|---|
| Former Legal Business Name | CONLON ORTHODONTICS, LTD. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE CONLON President 815-344-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |