| NPI | 1831899954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STITES Insurance Coordinator Decision One 630-869-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |