| NPI | 1801804182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD L KASPER Senior Partner 708-429-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2011-08-02 |