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Organization
SOUTHWEST ORAL SURGEONS,P.C.
Active
Organization
SOUTHWEST ORAL SURGEONS,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G. FLICK DDSMPH (DOCTOR/OWNER)
(708) 425-4300
Entity
Organization
Contact information
Practice address
6305 W 95TH ST, 3RD FLOOR, OAK LAWN, IL 60453-2255
(708) 425-4300
(708) 425-4310
Mailing address
6305 W 95TH ST, 3RD FLOOR, OAK LAWN, IL 60453-2255
(708) 425-4300
(708) 425-4310
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
IL
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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