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 |