| NPI | 1316044837 |
|---|---|
| Doing Business As | ORAL SURGERY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PIETRI Insurance Coordinator 773-761-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 060003037) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2019-12-09 |