Individual
OMAR C CHAHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2845 36 AVE SOUTH, GRAND FORKS, ND 58201-6747
(701) 775-4444
(701) 775-4530
Mailing address
2845 36 AVE SOUTH, GRAND FORKS, ND 58201-6747
(701) 775-4444
(701) 775-4530
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1938
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1938
DENTAL LICENSE
ND
05
—
41318
—
ND
Enumeration date
11/06/2006
Last updated
12/14/2010
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