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Organization

DIOMS, PLLC

Active
Parent organization
DIOMS, PLLC
Other names
Expedition Oral Surgery
Organization subpart
Yes

Provider details

NPI number
Legal business name
DIOMS, PLLC
Authorized official
DR. MAU K PHAM DDS, MD (OWNER)
(817) 945-2971
Entity
Organization

Contact information

Practice address
9676 BARTLETT CIR STE 950, FORT WORTH, TX 76108-4469
(817) 945-2971
(817) 841-1074
Mailing address
9676 BARTLETT CIR STE 950, FORT WORTH, TX 76108-4469
(817) 945-2971
(817) 841-1074

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
25803
TX

Other

Enumeration date
09/28/2017
Last updated
07/21/2022
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