Organization
K & L OMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GARRITY (ADMINISTRATOR)
(318) 884-4000
Entity
Organization
Contact information
Practice address
834 SW 11TH ST, REDMOND, OR 97756-2633
(541) 617-3993
Mailing address
1475 SW CHANDLER AVE STE 101, BEND, OR 97702-3239
(541) 617-3993
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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