Az Oms Specialty Dental Services, LLC

NPI #1144909300 in Chesterfield, Virginia

Provider Information

NPI Number
1144909300
Entity Type
Organization
Organization Name
Az Oms Specialty Dental Services, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
AZ OMS SPECIALTY DENTAL SERVICES, LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jul 14, 2023
Last Updated
Aug 2, 2023

Practice Location

Address
10110 IRON BRIDGE RD
ZIP Code
23832-6529
Phone
(504) 638-0303

Authorized Official

Name
CHARLOTTE DASCH
Title
DIRECTOR OF CREDENTIALING AND PR
Phone
(504) 638-0303

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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