Organization · Type 2 NPI

Glenbrook Oral & Maxillofacial Surgery Ltd

Oral and Maxillofacial Surgery (Dentist) · Glenview, IL

NPI number 1306048780 Active

Practice location

3633 W Lake Ave, Suite 100
Glenview, IL 60026-5805

Fax (847) 998-8791

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X060-005529 (IL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1306048780

Glenbrook Oral & Maxillofacial Surgery Ltd's National Provider Identifier is 1306048780, issued on Jun 5, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Glenview, IL. The record was last updated on Nov 16, 2012.