Az Oms Specialty Dental Services, LLC

NPI #1336808815 in Oro Valley, Arizona

Provider Information

NPI Number
1336808815
Entity Type
Organization
Organization Name
Az Oms Specialty Dental Services, LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Dec 13, 2021
Last Updated
Jul 18, 2023

Practice Location

Address
1876 E INNOVATION PARK DR
State
Arizona
ZIP Code
85755-1963
Phone
(520) 745-2454

Authorized Official

Name
CHARLOTTE DASCH
Title
DIRECTOR OF PROVIDER RELATIONS
Phone
(504) 638-0303

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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