# MIDLAND ORAL SURGERY AND IMPLANT CENTERS, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669480851
- **Authorized official:** DR. EDWARD L. KASPER D.D.S. (SENIOR PARTNER)
- **Authorized official phone:** (708) 423-5990

## Contact information

- **Practice address:** 4435 W. 95TH STREET, OAK LAWN, IL 60453
- **Practice address phone:** (708) 423-5990
- **Practice address fax:** (708) 423-8552
- **Mailing address:** 4435 W. 95TH STREET, OAK LAWN, IL 60453
- **Mailing address phone:** (708) 423-5990
- **Mailing address fax:** (708) 423-8552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 09/08/2011