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Organization
MIDLAND ORAL SURGERY AND IMPLANT CENTERS, LTD
Active
Organization
MIDLAND ORAL SURGERY AND IMPLANT CENTERS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON TUCKE DDS (CEO)
(215) 828-9559
Entity
Organization
Contact information
Practice address
800 HILLGROVE AVE STE 201, WESTERN SPRINGS, IL 60558-1470
(708) 678-1011
Mailing address
PO BOX 674620, DALLAS, TX 75267-4620
(708) 423-5990
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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