| NPI | 1902917057 |
|---|---|
| Doing Business As | OMS SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | KIRBY CHARLES JOHNSON President 612-788-9246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-07-29 |