| NPI | 1023279858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN FREDERICK TEMPEL President 1630-924-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019-019825) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |