| NPI | 1669480851 |
|---|---|
| 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 | 2011-09-08 |