GRAYSLAKE ORAL AND MAXILLOFACIAL SURGERY

Dentist - Oral and Maxillofacial Surgery

Active Organization
NPI: 1871767780

Practice Address

115 COMMERCE DR
SUITE D
Grayslake, IL 60030

Phone: (847) 548-8800

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes 019-022879 (IL)

Frequently Asked Questions

NPI 1871767780 is the National Provider Identifier for GRAYSLAKE ORAL AND MAXILLOFACIAL SURGERY, a Dentist - Oral and Maxillofacial Surgery provider located in Grayslake, IL. This NPI was enumerated on April 22, 2008.

Quick Facts

NPI
1871767780
Type
Organization
Enumerated
Apr 22, 2008
Last Updated
Apr 22, 2008

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