Organization
ILLINOIS ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BARBICK DMD MD (OWNER)
(813) 755-9100
Entity
Organization
Contact information
Practice address
426 S 3RD ST, GENEVA, IL 60134-2854
(630) 232-9090
(630) 232-9094
Mailing address
15170 N FLORIDA AVE, TAMPA, FL 33613-1229
(813) 755-9100
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/25/2023
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