| NPI | 1427949536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA HOYE Owner 815-293-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223E0200X Dentist, Endodontics | |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |