Omni On Premises
NPI #1740040682 in Long Beach, California
Provider Information
- NPI Number
- 1740040682
- Entity Type
- Organization
- Organization Name
- Omni On Premises
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 19, 2024
- Last Updated
- Mar 19, 2024
Practice Location
- Address
- 4647 LONG BEACH BLVD STE D5
- City
- Long Beach
- State
- California
- ZIP Code
- 90805-6976
- Phone
- (562) 453-0525
Authorized Official
- Name
- CHRISTOPHER DOANE, DDS
- Title
- DOCTOR
- Phone
- (805) 450-7329
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - Oral and Maxillofacial Radiology — Oral and Maxillofacial Radiology |
| Dentist - General Practice — General Practice |
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