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Organization
OMNI DENTAL GROUP
Active
Organization
OMNI DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN CARLEY-HOLMES (OPERATIONS MANAGER)
(512) 250-5012
Entity
Organization
Contact information
Practice address
11130 JOLLYVILLE RD, SUITE 1500, AUSTIN, TX 78759-5593
(512) 346-8424
(512) 346-3848
Mailing address
11130 JOLLYVILLE RD, SUITE 1500, AUSTIN, TX 78759-5593
(512) 346-8424
(512) 346-3848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16471
TX
Other
Enumeration date
11/24/2006
Last updated
08/22/2020
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