| NPI | 1952095010 |
|---|---|
| Doing Business As | GENESIS ORAL SURGERY AND IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY GUTHRIE President 773-255-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-08-28 |