| NPI | 1538702436 |
|---|---|
| Doing Business As | OMNI DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BILUS POLES President 847-241-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |