Organization
OMEGA ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD T. LIU D.M.D. (PARTNER ENDODONTIST)
(302) 733-7600
Entity
Organization
Contact information
Practice address
31 OMEGA DR, SUITE J-31, NEWARK, DE 19713-2058
(302) 733-7600
(302) 733-7522
Mailing address
31 OMEGA DR, SUITE J-31, NEWARK, DE 19713-2058
(302) 733-7600
(302) 733-7522
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2005207676
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1576242
UNITED CONCORDIA PROVIDER
DE
Enumeration date
11/16/2006
Last updated
08/22/2020
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