| NPI | 1538636964 |
|---|---|
| Other Name | OMSA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PORTER Owner 214-728-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2020-05-19 |