NPI | 1073611273 |
---|---|
Doing Business As | OMNI DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MARC A AMSILI Owner 512-250-5012 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16471) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |