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Organization
ORAL AND MAXILLOFICIAL HEAD AND NECK ASSOCIATES LLC
Active
Organization
ORAL AND MAXILLOFICIAL HEAD AND NECK ASSOCIATES LLC
Active
Other names
OMHNA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED QAISI MD DMD (MEMBER)
(318) 547-2825
Entity
Organization
Contact information
Practice address
811 WEST WELLINGTON AVENUE, ATTENTION: MOHAMMED QAISI, MD., DMD., CHICAGO, IL 60657-5123
(847) 676-0091
(847) 676-2374
Mailing address
PO BOX 734471, CHICAGO, IL 60673-4471
(847) 676-0091
(847) 676-2374
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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