Organization
OMS OF SE NM, LLC
Active
Parent organization
OMS OF SE NM, LLC
Other names
OMS of SE NM, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMS OF SE NM, LLC
Authorized official
MRS. SHERRY C ECKEL (OWNER)
(575) 623-5711
Entity
Organization
Contact information
Practice address
207 N. UNION STE. E, OMS OF SE NM, LLC, ROSWELL, NM 88201-3068
(575) 623-5711
(575) 623-8628
Mailing address
207 N. UNION STE. E, OMS OF SE NM, LLC, ROSWELL, NM 88201-3068
(575) 623-5711
(575) 623-8628
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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