Organization
EDC MANAGEMENT, L.L.C.
Active
Other names
Emergency Dental Care USA
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OBENG (MANAGER)
(402) 393-2726
Entity
Organization
Contact information
Practice address
745 ORIENTA AVE, STE. 1071, ALTAMONTE SPRINGS, FL 32701-5619
(407) 599-0071
Mailing address
4245 S 143RD CIR, STE. 7, OMAHA, NE 68137-4516
(402) 393-2726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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