Organization
MIDLAND ORAL SURGERY AND IMPLANT CENTERS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD L. KASPER D.D.S. (SENIOR PARTNER)
(708) 423-5990
Entity
Organization
Contact information
Practice address
4435 W. 95TH STREET, OAK LAWN, IL 60453
(708) 423-5990
(708) 423-8552
Mailing address
4435 W. 95TH STREET, OAK LAWN, IL 60453
(708) 423-5990
(708) 423-8552
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
09/08/2011
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