| NPI | 1962832915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL JONES Orthodontist, Owner 815-564-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019027845) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |