| NPI | 1477660207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THEADORE SCHLOSSER Dentist Owner 217-793-7899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022072) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2011-06-07 |