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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