NPI | 1528269685 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID J. RUBIS Owner 815-577-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19016447) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2008-01-23 |