| NPI | 1629227392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE WOODRUFF President 217-586-5667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060.009802) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |