| NPI | 1770753261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL FRIEDRICH MCMASTERS President 618-931-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019015888) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |