| NPI | 1962599605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART DESSNER Omf Surgeon President 847-392-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-10-07 |