| NPI | 1346453636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C HARBECK President Dentist 815-433-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19A12384) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-07-31 |