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 |