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Individual
MOHAMMED K QAISI
Active
Individual
MOHAMMED K QAISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019.030516
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
036.139464
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21459
—
LA
Enumeration date
05/23/2007
Last updated
04/28/2021
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