NPI 1760007678

Mandalai Oral and Maxillofacial Surgery PC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Naperville, IL

Practice location

Address: 720 S. Brom Drive Suite 103, Naperville, IL 60540
Phone: (630) 212-4748
Mailing address: 479 N Harlem Ave APT 1326, Oak Park, IL 60301-6420

Authorised official

Name: Mohammed Almandalawi
Title: Doctor
Phone: (909) 367-0744

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Illinois →

Registry record

NPI: 1760007678
Entity type: Organization
NPI issued: 16 Jun 2020
Record last updated: 16 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.