| NPI | 1992975551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD PAUL RENTSCHLER Oral And Maxillofacial Surgeon 815-226-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |