| NPI | 1992534168 |
|---|---|
| Doing Business As | PREMIER ORAL SURGERY AND DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | ABDULKADER HAKIMUDDIN GHADIALI President 708-942-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-10-09 |