| NPI | 1063019081 | 
|---|---|
| Doing Business As | OMNI DENTAL PLLC | 
| Doing Business As | PRIME DENTAL GRAND PRAIRIE | 
| Entity Type | Organization | 
| Authorized Contact | DAVID MARCUS CHEI President 214-326-9077  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental | 
| Enumeration Date | 2020-10-02 | 
| Last Update Date | 2020-10-02 |