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Organization
MANDALAI ORAL AND MAXILLOFACIAL SURGERY PC
Active
Organization
MANDALAI ORAL AND MAXILLOFACIAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED ALMANDALAWI DMD (DOCTOR)
(909) 367-0744
Entity
Organization
Contact information
Practice address
720 S. BROM DRIVE SUITE 103, NAPERVILLE, IL 60540
(630) 212-4748
Mailing address
479 N HARLEM AVE APT 1326, OAK PARK, IL 60301-6420
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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