# OMEGA DENTISTRY MANAGEMENT GROUP INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235547027
- **Authorized official:** DR. PEDRAM BOHLULI D.M.D (OWNER)
- **Authorized official phone:** (832) 209-2215

## Contact information

- **Practice address:** 106 W GRAY ST, HOUSTON, TX 77019-5509
- **Practice address phone:** (832) 209-2215
- **Mailing address:** 106 W GRAY ST, HOUSTON, TX 77019-5509
- **Mailing address phone:** (832) 209-2215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 23469 | TX | Yes |

## Other

- **Enumeration date:** 07/24/2014
- **Last updated:** 07/24/2014