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Organization
JOHN P OMALLEY DMD PA
Active
Organization
JOHN P OMALLEY DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATRICK OMALLEY (PRESIDENT)
(704) 374-1221
Entity
Organization
Contact information
Practice address
2007 RANDOLPH ROAD, CHARLOTTE, NC 28207
(704) 374-1221
(704) 344-0834
Mailing address
2007 RANDOLPH ROAD, CHARLOTTE, NC 28207
(704) 374-1221
(704) 344-0834
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3852
NC
Other
Enumeration date
12/27/2006
Last updated
03/04/2008
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