| NPI | 1639187834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD L KASPER Senior Partner 708-423-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-02-28 |