| NPI | 1669558250 |
|---|---|
| Former Legal Business Name | HOLMES DENTAL ASSOCIATES, PC |
| Entity Type | Organization |
| Authorized Contact | JULIE LIPIC Office Manager 309-662-0523 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-025505) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2018-01-10 |