| NPI | 1548436579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN J MURPHY President 815-636-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019020127) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |