| NPI | 1598088304 |
|---|---|
| Doing Business As | THE NOLL DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH E NYRE President And CEO 217-585-5166 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019.027440) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |