| NPI | 1518229053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER E RITCHEY Owner 815-725-9130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021.002064) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |