Organization
MICHAEL K. OBENG, D.D.S., PLLC
Active
Parent organization
MICHAEL K. OBENG, D.D.S., PLLC
Other names
Emergency Dental Care USA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL K. OBENG, D.D.S., PLLC
Authorized official
MICHAEL OBENG DDS (OWNER)
(402) 393-2726
Entity
Organization
Contact information
Practice address
5249 DUKE ST, STE. 410, ALEXANDRIA, VA 22304-2926
(703) 650-9326
Mailing address
4245 S 143RD CIR, STE. 7, OMAHA, NE 68137-4516
(402) 393-2726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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