Organization
JOMS LLC
Active
Other names
Oral and Facial Surgery of Naperville
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHER J RIFAI DMD MD (PRESIDENT)
(630) 961-5151
Entity
Organization
Contact information
Practice address
10 MARTIN AVE STE 164, NAPERVILLE, IL 60540-6563
(630) 961-5151
(630) 961-5173
Mailing address
10 MARTIN AVE STE 164, NAPERVILLE, IL 60540-6563
(630) 961-5151
(630) 961-5173
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710143177
—
IL
05
—
1780780197
—
IL
Enumeration date
09/28/2018
Last updated
03/24/2021
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