# OMFS ENTERPRISES PLLC

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

## Provider details

- **NPI number:** 1821584681
- **Authorized official:** DIANA TIEU (INSURANCE BILLER)
- **Authorized official phone:** (734) 306-5404

## Contact information

- **Practice address:** 3950 S ROCHESTER RD STE 2500, ROCHESTER HILLS, MI 48307-5160
- **Practice address phone:** (586) 770-0612
- **Mailing address:** 3950 S ROCHESTER RD STE 2500, ROCHESTER HILLS, MI 48307-5160

## Taxonomy

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

## Other

- **Enumeration date:** 07/05/2018
- **Last updated:** 07/05/2018