| NPI | 1851991079 |
|---|---|
| Doing Business As | OMNI COSMETIC |
| Entity Type | Organization |
| Authorized Contact | JOHN A NESS CEO 763-559-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |