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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