OrganizationActive
Wisconsin Oral & Maxillofacial Surgery LLC
NPI 1013409002 · Oral and Maxillofacial Surgery Clinic/Center · Oak Creek, WI
Provider details
- NPI number
- 1013409002
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Ejlal Alalawi, Owner/Provider
Practice location
2603 W Rawson Ave Ste 123
Oak Creek, WI 53154-8422
Phone: (914) 325-5672
Mailing address
124 Legend Way
Wales, WI 53183-9539
Registry dates
- Enumerated
- 2018-06-05
- Last updated
- 2018-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.