| NPI | 1326716390 |
|---|---|
| Doing Business As | CHICAGO ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | GREGORY P THOMAS Owner 312-926-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |