NPI | 1861609703 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT WILLIAM SCHMIDT President 815-434-1688 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.016297) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-08-22 |