| NPI | 1801461561 |
|---|---|
| Doing Business As | OMNIA DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | CARRICK BANNATZ Office Manager 909-497-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2023-08-22 |