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Organization

OMNI FAMILY DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTINA GOMEZ (PRACTICE MANAGER)
(678) 395-3692
Entity
Organization

Contact information

Practice address
3900 SATELLITE BLVD STE 106, DULUTH, GA 30096-1861
(678) 865-7974
Mailing address
3900 SATELLITE BLVD STE 106, DULUTH, GA 30096-1861
(678) 395-3692

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/13/2023
Last updated
11/25/2023
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