CRYSTAL LAKE ORAL MAXILLOFACIAL SURGERY LTD is an oral and maxillofacial surgery dentist in Crystal Lake, IL. The provider is an oral and maxillofacial surgery dentist specialized in 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. CRYSTAL LAKE ORAL MAXILLOFACIAL SURGERY LTD NPI is 1730197468. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
690 N IL ROUTE 31
CRYSTAL LAKE, IL
ZIP 60012-790
Phone: (815) 459-5600
Fax: (815) 459-5615
The provider's authorized official is Kurt E Bruksch .
The authorized official title is Vice-president and has the following contact phone number (815) 459-5600.
The enumeration date for this NPI number is 8/5/2006 and was last updated on 6/3/2010.