| NPI | 1013028398 |
|---|---|
| Doing Business As | FOX RIVER ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWIN JONES President 815-356-3977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 21002105) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |