| NPI | 1154379931 |
|---|---|
| Doing Business As | SUBURBAN ORAL SURGERY AND IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | ALLAN J. LIBUNAO Owner/Partner 630-972-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 019024443) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |