Organization
OMEGA DENTISTRY MANAGEMENT GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRAM BOHLULI D.M.D (OWNER)
(832) 209-2215
Entity
Organization
Contact information
Practice address
106 W GRAY ST, HOUSTON, TX 77019-5509
(832) 209-2215
Mailing address
106 W GRAY ST, HOUSTON, TX 77019-5509
(832) 209-2215
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
23469
TX
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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