Organization
BUFFALO GROVE ORAL & MAXILLOFACIAL SURGERY PC
Active
Other names
Herbert M Kanter DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT M KANTER DDS (ORAL & MAXILLOFACIAL SURGEON PRES)
(847) 259-8883
Entity
Organization
Contact information
Practice address
3325 N ARLINGTON HEIGHTS ROAD, SUITE 600A, ARLINGTON HEIGHTS, IL 60004
(847) 259-8883
(847) 259-8891
Mailing address
3325 N ARLINGTON HEIGHTS ROAD, SUITE 600A, ARLINGTON HEIGHTS, IL 60004
(847) 259-8883
(847) 259-8891
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
02100082
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80005430
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/31/2006
Last updated
08/22/2020
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