NPI | 1417108580 |
---|---|
Other Name | APPLEWHITE DENTAL PARTNERS IL PC |
Entity Type | Organization |
Authorized Contact | THOMAS MCCOY President 563-582-1448 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 7564) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223P0221X Dentist, Pediatric Dentistry | |
1223P0700X Dentist, Prosthodontics (Licence: IA 7101) | |
Enumeration Date | 2008-10-07 |
Last Update Date | 2018-06-13 |