ORAL FACIAL SURGERY INSTITUTE OF IL. P.C.

BELLEVILLE, IL
NPI1740697333
Entity TypeOrganization
Authorized ContactSCOTT E GRAHAM
Administrator
314-251-6725
Organization Subpart ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
Enumeration Date2014-07-16
Last Update Date2014-07-16
Business Address
ORAL FACIAL SURGERY INSTITUTE OF IL. P.C.
10200 WEST MAIN STREET
BELLEVILLE, IL 62223
Phone number: 618-397-2464
Mailing Address
ORAL FACIAL SURGERY INSTITUTE OF IL. P.C.
10200 WEST MAIN STREET
BELLEVILLE, IL 62223
Phone number: 618-397-2464
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