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ORAL FACIAL SURGERY INSTITUTE OF ILLINOIS P C

Organization (NPI-2) Active

Oral & Maxillofacial Surgery

Provider Information

NPI Number
1740697333
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
10200 WEST MAIN STREET, BELLEVILLE, IL, 62223
Phone
(618) 397-2464
Fax
(618) 398-4450

Specialties & Taxonomies

Oral & Maxillofacial Surgery Primary

All Addresses

MAILING

10200 W MAIN ST

BELLEVILLE, IL, 622231408

(618) 400-6725

LOCATION

10200 WEST MAIN STREET

BELLEVILLE, IL, 62223

(618) 397-2464