Organization
K & L OMS LLC
Active
Parent organization
K & L OMS, LLC
Other names
K & L OMS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
K & L OMS, LLC
Authorized official
JOHN GARRITY (ADMINISTRATOR)
(541) 617-3993
Entity
Organization
Contact information
Practice address
1475 NE WILLIAMSON BLVD, BEND, OR 97701
(541) 382-1053
Mailing address
1475 NE WILLIAMSON BLVD, BEND, OR 97701
(541) 382-1053
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D6629
OR
Other
Enumeration date
08/29/2016
Last updated
01/20/2023
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