Organization
OMS FACILITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY KETOLA (BUSINESS ADMINISTRATOR)
(704) 820-1187
Entity
Organization
Contact information
Practice address
411 BILLINGSLEY RD, SUITE 105, CHARLOTTE, NC 28211-1046
(704) 820-2982
(704) 820-3185
Mailing address
411 BILLINGSLEY RD, SUITE 105, CHARLOTTE, NC 28211-1046
(704) 820-2982
(704) 820-3185
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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