North Suburban Oral and Maxillofacial Surgery Ltd

NPI #1477664332 in Lake Forest, Illinois

Provider Information

NPI Number
1477664332
Entity Type
Organization
Organization Name
North Suburban Oral and Maxillofacial Surgery Ltd
Primary Specialty
Dentist - Oral and Maxillofacial Pathology
Enumeration Date
Aug 31, 2006
Last Updated
Feb 10, 2009

Practice Location

Address
900 N WESTMORELAND RD
Address 2
SUITE 208
ZIP Code
60045-1674
Phone
(847) 234-3390

Authorized Official

Name
DR. RICHARD P. MARTINO, DDS
Title
PRESIDENT
Phone
(847) 234-3390

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial PathologyOral and Maxillofacial Pathology

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