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Organization

THE CENTRE FOR ORAL SURGERY IN JOLIET, INC.

Active
Other names
TheWisdomToothDOC
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES JOHN BABIUK DDS (DOCTOR OF DENTAL SURGERY)
(815) 324-4470
Entity
Organization

Contact information

Practice address
1404 AQUARIUS CIR STE A, OTTAWA, IL 61350-8914
(815) 324-4470
(815) 324-4474
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
05/03/2023
Last updated
05/03/2023
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