NPI | 1982962130 |
---|---|
Doing Business As | THOMAS R O'NEIL, DDS, PA |
Entity Type | Organization |
Authorized Contact | PAM HARDIEK Insurance/Credentialing 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-04-25 |
Last Update Date | 2012-04-25 |