| NPI | 1851523146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIERA N ABIERA Dentist 815-395-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |