Organization
SURGICAL SPECIALTY PARTNERS, LTD.
Active
Other names
Suburban Oral Surgery and Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN J. LIBUNAO D.D.S. (OWNER/PARTNER)
(630) 972-1599
Entity
Organization
Contact information
Practice address
580 E BOUGHTON RD, SUITE B, BOLINGBROOK, IL 60440-2140
(630) 972-1599
(630) 972-1050
Mailing address
580 E BOUGHTON RD, SUITE B, BOLINGBROOK, IL 60440-2140
(630) 972-1599
(630) 972-1050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
05/04/2006
Last updated
08/22/2020
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