NPI | 1275897928 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES A MORRONE Owner 630-574-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IL 019017336) |
Enumeration Date | 2012-06-27 |
Last Update Date | 2012-06-27 |