| NPI | 1356388193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOHN STEHMAN President 618-345-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019-017284) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |