Organization
MK OBENG PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OBENG (OWNER)
(402) 393-2726
Entity
Organization
Contact information
Practice address
4218 S STEELE ST, TACOMA, WA 98409-7312
(253) 474-9911
Mailing address
1415 N 135TH ST STE 2A, OMAHA, NE 68154-5291
(402) 393-2726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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