| NPI | 1407866452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K J STURHAHN President 217-224-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 0190242471) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019026349) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-01-04 |