AFFILIATES IN ORAL & MAXILLOFACIAL SURGERY LTD
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1215196290- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3112 VILLAGE OFFICE PL, CHAMPAIGN, IL, 618227680
- Phone
- (217) 351-7111
- Fax
- (217) 351-7282
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: IL #019021176