| NPI | 1962650150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD R LYNCH President 217-245-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 19-016290) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |