NPI | 1326483991 |
---|---|
Doing Business As | UIC CRANIOFACIAL CENTER |
Entity Type | Organization |
Authorized Contact | MARC WILLIAM DEVAR Chief Operating Officer 312-376-1607 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2013-05-08 |
Last Update Date | 2022-01-20 |