Organization
OBSIDIAN MANAGEMENT GROUP LLC
Active
Other names
Titanium Oral, Facial & Implants Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BECKY BERRILL (OFFICE MANAGER)
(936) 231-8568
Entity
Organization
Contact information
Practice address
3117 COLLEGE PARK DR STE 150, THE WOODLANDS, TX 77384-4192
(936) 231-8568
(936) 447-9738
Mailing address
3117 COLLEGE PARK DR STE 150, THE WOODLANDS, TX 77384-4192
(936) 231-8568
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
11/04/2021
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