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Organization
OMFS ENTERPRISES PLLC
Active
Organization
OMFS ENTERPRISES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA TIEU (INSURANCE BILLER)
(734) 306-5404
Entity
Organization
Contact information
Practice address
3950 S ROCHESTER RD STE 2500, ROCHESTER HILLS, MI 48307-5160
(586) 770-0612
Mailing address
3950 S ROCHESTER RD STE 2500, ROCHESTER HILLS, MI 48307-5160
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
07/05/2018
Last updated
07/05/2018
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