| NPI | 1891843595 |
|---|---|
| Doing Business As | CENTRAL ILLINOIS ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | AMY KROEGER Ins Coodinator 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019-024942) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-06-29 |