| NPI | 1154357291 |
|---|---|
| Other Name | ASSOCIATED ORAL SURGEONS |
| Entity Type | Organization |
| Authorized Contact | JOHN J OTTEN President 309-682-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019024407) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019023700) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |