# OMFS PRACTICE INC.

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

## Provider details

- **NPI number:** 1265946081
- **Authorized official:** DR. VICTOR H ESCOBAR DDS (PRESIDENT)
- **Authorized official phone:** (217) 366-1246

## Contact information

- **Practice address:** 2917 CROSSING CT STE A, CHAMPAIGN, IL 61822-6185
- **Practice address phone:** (217) 366-1246
- **Mailing address:** 2917 CROSSING CT STE A, CHAMPAIGN, IL 61822-6185
- **Mailing address phone:** (217) 366-1246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 021.002026 | IL | Yes |

## Other

- **Enumeration date:** 12/01/2017
- **Last updated:** 12/01/2017