| NPI | 1568031144 |
|---|---|
| Former Legal Business Name | DENTAL OFFICE MANAGEMENT SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | TED RICHAN COO 703-859-3367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2021-07-13 |