| Western Illinois Oral & Maxillofacial Surgery, Ltd. | |
|
929 W Carl Sandburg Dr Galesburg IL 61401-1342 | |
| (309) 344-3311 | |
| (309) 344-1052 |
| Full Name | Western Illinois Oral & Maxillofacial Surgery, Ltd. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 929 W Carl Sandburg Dr, Galesburg, Illinois |
| Authorized Official Name and Position | Dan W. Kaspar (PRESIDENT) |
| Authorized Official Contact | 3093443311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Illinois Oral & Maxillofacial Surgery, Ltd. 929 W Carl Sandburg Dr Galesburg IL 61401-1342 Ph: (309) 344-3311 | Western Illinois Oral & Maxillofacial Surgery, Ltd. 929 W Carl Sandburg Dr Galesburg IL 61401-1342 Ph: (309) 344-3311 |
| NPI Number | 1932232287 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932232287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Illinois) | Primary |
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