| NPI | 1982634010 |
|---|---|
| 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 (Licence: MN 10472) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2014-07-29 |