| 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 |