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Facial Cosmetic & Reconstructive Surgery, Sc
Oral and Maxillofacial Surgery Clinic/Center in Dunlap, Illinois
NPI 1417123076

Facial Cosmetic & Reconstructive Surgery, Sc is a Oral and Maxillofacial Surgery Clinic/Center based in Dunlap, IL and is specialized in Oral and Maxillofacial Surgery. Facial Cosmetic & Reconstructive Surgery, Sc practices in Dunlap, IL. The NPI Number for Facial Cosmetic & Reconstructive Surgery, Sc is 1417123076 and holds a License No. 019025195 (Illinois).

The current practice location address for Facial Cosmetic & Reconstructive Surgery, Sc is 11825 N Knoxville Ave, Dunlap, IL and can be reached out via phone at 309-243-8980 and via fax at 309-243-8983.

Location: 11825 N Knoxville Ave, Dunlap, IL, 61525-8842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417123076
Provider Name
Facial Cosmetic & Reconstructive Surgery, Sc
Credential
Provider Entity Type
Organization
Address
11825 N Knoxville Ave, Dunlap, IL, 61525-8842
Phone Number
309-243-8980
Fax Number
309-243-8983
Provider Enumeration Date
05/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11825 N Knoxville Ave
City
Dunlap
State
Illinois
Zip
61525-8842
Phone Number
309-243-8980
Fax Number
309-243-8983
person
Provider Business Mailing Address Details
Address
11825 N Knoxville Ave
City
Dunlap
State
Illinois
Zip
61525-8842
Phone Number
309-243-8980
Fax Number
309-243-8983
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
019025195 (Illinois)
Definition
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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