| NPI | 1932329885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAN J MCMURRAY Owner 309-685-3714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019021358) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2012-07-30 |