| NPI | 1639649288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY R LOMBARDI Dentist/Owner 815-254-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |