Northwest Oral & Maxillofacial Surgery INC
NPI #1811015084 in Arlington Heights, Illinois
Provider Information
- NPI Number
- 1811015084
- Entity Type
- Organization
- Organization Name
- Northwest Oral & Maxillofacial Surgery INC
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Oct 13, 2011
Practice Location
- Address
- 1600 W CENTRAL RD
- State
- Illinois
- ZIP Code
- 60005
- Phone
- (847) 392-6220
Authorized Official
- Name
- DR. MATTHEW E GAUTHIER, DDS
- Title
- ORAL SURGEON
- Phone
- (847) 392-6220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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