Organization
MIDLAND ORAL SURGERY AND IMPLANT CENTERS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD L KASPER DDS (SENIOR PARTNER)
(708) 429-4770
Entity
Organization
Contact information
Practice address
7625 159TH ST, TINLEY PARK, IL 60477-1492
(708) 429-4770
(708) 429-9685
Mailing address
7625 159TH ST, TINLEY PARK, IL 60477-1492
(708) 429-4770
(708) 429-9685
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
08/02/2011
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