Organization
MIDLAND ORAL SURGERY AND IMPLANT CENTERS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON TUCKE DDS (CEO)
(215) 828-9559
Entity
Organization
Contact information
Practice address
800 HILLGROVE AVE STE 201, WESTERN SPRINGS, IL 60558-1470
(708) 678-1011
Mailing address
PO BOX 674620, DALLAS, TX 75267-4620
(708) 423-5990
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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