| NPI | 1083928964 |
|---|---|
| Doing Business As | NORTH SHORE ORAL SURGERY AND DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN LOGIUDICE Owner, President 847-945-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IL 019025769) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |