| Libertyville Oral Surgery Pc | |
|
1236 American Way Libertyville IL 60048-3936 | |
| (847) 367-8656 | |
| Not Available |
| Full Name | Libertyville Oral Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1236 American Way, Libertyville, Illinois |
| Authorized Official Name and Position | Bryan Vanoven (ORAL MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 8473678656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Libertyville Oral Surgery Pc 1236 American Way Libertyville IL 60048-3936 Ph: (847) 367-8656 | Libertyville Oral Surgery Pc 1236 American Way Libertyville IL 60048-3936 Ph: (847) 367-8656 |
| NPI Number | 1891477352 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 08/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891477352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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