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Organization
MD OMS SDS, LLC
Active
Organization
MD OMS SDS, LLC
Active
Parent organization
MD OMS SDS, LLC
Other names
GermanTown Oral And Facial Surgery Center, Columbia Oral and Facial Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MD OMS SDS, LLC
Authorized official
CHARLOTTE DASCH (DIREC OF CRED AND PROV REL)
(504) 638-0303
Entity
Organization
Contact information
Practice address
19717 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2639
(301) 916-0486
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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