| NPI | 1831485929 |
|---|---|
| Doing Business As | RT. 14 DENTISTRY & DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | C. J. LUDFORD Dentist 815-455-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-016700) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |