| NPI | 1225612534 |
|---|---|
| Doing Business As | BROOKFIELD ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | TYRAN E JOHNSON Owner 708-680-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-05-12 |