NPI | 1154357291 |
---|---|
Other Name | ASSOCIATED ORAL SURGEONS |
Entity Type | Organization |
Authorized Contact | ROBYN WOLFE Practice Leader 309-682-1249 |
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 | 2024-11-05 |