| NPI | 1316455835 |
|---|---|
| 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 | 2018-01-18 |
| Last Update Date | 2023-11-02 |