Organization
PREMIER ORAL AND MAXILLOFACIAL SURGERY P.C.
Active
Other names
PREMIER ORAL SURGERY AND DENTAL IMPLANT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDULKADER HAKIMUDDIN GHADIALI DDS (PRESIDENT)
(708) 942-8154
Entity
Organization
Contact information
Practice address
16523 106TH CT UNIT C2, ORLAND PARK, IL 60467-4545
(708) 942-8154
(708) 551-0753
Mailing address
16523 106TH CT UNIT C2, ORLAND PARK, IL 60467-4545
(708) 942-8154
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
10/09/2024
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