CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, P.C.

BELLEVILLE, IL
NPI1801000443
Entity TypeOrganization
Authorized ContactGLENN A MILLER
Oral & Maxillofacial Surgeon
618-387-2464
Organization Subpart ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: IL  060000298)
Enumeration Date2007-05-10
Last Update Date2011-06-03
Business Address
CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, P.C.
10200 W MAIN ST SIGNAL HILL MEDICAL BLDG
BELLEVILLE, IL 62223-1408
Phone number: 618-397-2464
Mailing Address
CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, P.C.
10200 WEST MAIN SIGNAL HILL MEDICAL BLDG
BELLEVILLE, IL 62223
Phone number: 618-397-2464
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