NPI | 1447217807 |
---|---|
Entity Type | Organization |
Authorized Contact | LESTER L BESTE Owner 708-755-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 319004968) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2020-08-22 |