| NPI | 1902343148 |
|---|---|
| Doing Business As | OMOS PARK COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MINDA J GRAY Owner/Dentist 210-824-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 31920) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-30 |