| NPI | 1790138691 |
|---|---|
| Doing Business As | OMNI DENTAL GROUP0 |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA HOLLINGER Dmd 206-930-4963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 31963) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |