The Center for Oral, Maxillofacial & Implant Surgery
NPI #1205095387 in Evanston, Illinois
Provider Information
- NPI Number
- 1205095387
- Entity Type
- Organization
- Organization Name
- The Center for Oral, Maxillofacial & Implant Surgery
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jun 4, 2008
- Last Updated
- May 9, 2025
Practice Location
Authorized Official
- Name
- MS. HOLLY A. WALES
- Title
- PRACTICE PRACTICE MANAGER
- Phone
- (847) 869-1080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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