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Organization
DIOMS, PLLC
Active
Organization
DIOMS, PLLC
Active
Parent organization
DIOMS, PLLC
Other names
Expedition Oral Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIOMS, PLLC
Authorized official
DR. MAU K PHAM DDS, MD (OWNER)
(817) 945-2971
Entity
Organization
Contact information
Practice address
9676 BARTLETT CIR STE 950, FORT WORTH, TX 76108-4469
(817) 945-2971
(817) 841-1074
Mailing address
9676 BARTLETT CIR STE 950, FORT WORTH, TX 76108-4469
(817) 945-2971
(817) 841-1074
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
25803
TX
Other
Enumeration date
09/28/2017
Last updated
07/21/2022
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