NPI | 1346452448 |
---|---|
Doing Business As | 21ST CENTURY ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | AMY KROEGER Ins Cood 217-540-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |