| NPI | 1841740149 |
|---|---|
| Doing Business As | CHICAGO ORAL SURGERY & IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | JORDAN LEDGER Owner/Oral Surgeon 319-321-1394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019028719) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |