# OMEGA ENDODONTICS,LLC TA KENNETT ENDODONTICS

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

## Provider details

- **NPI number:** 1841363678
- **Authorized official:** DR. DONALD T LIU D.M.D. (PARTNER ENDODONTIST)
- **Authorized official phone:** (610) 444-6997

## Contact information

- **Practice address:** 120 LAFAYETTE ST, KENNETT SQUARE, PA 19348-3000
- **Practice address phone:** (610) 444-6997
- **Practice address fax:** (610) 444-4727
- **Mailing address:** 120 LAFAYETTE ST, KENNETT SQUARE, PA 19348-3000
- **Mailing address phone:** (610) 444-6997
- **Mailing address fax:** (610) 444-4727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 33227763 | PA | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 08/22/2020