Organization
AFFILIATED ORAL & MAXILLOFACIAL SURGEONS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART DESSNER DMD (OMF SURGEON PRESIDENT)
(847) 392-6700
Entity
Organization
Contact information
Practice address
3438 N OLD ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004
(847) 392-6700
(847) 392-6707
Mailing address
3438 N OLD ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004
(847) 392-6700
(847) 392-6707
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80016144
BC & BS
IL
Enumeration date
10/06/2006
Last updated
10/07/2008
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