| NPI | 1245346097 |
|---|---|
| Doing Business As | EDWARDSVILLE ORAL SURGERY AND IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | STEVEN JOSEPH HYTEN Owner 618-656-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021.002165) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2008-08-08 |