NPI | 1598974651 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS P ROONEY President 815-224-1534 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
Enumeration Date | 2007-05-22 |
Last Update Date | 2008-03-13 |