| Omfs Surgery Center, Llc | |
|
6950 Smoke Ranch Rd Suite 200 Las Vegas NV 89128-1300 | |
| (702) 360-8918 | |
| (702) 360-2156 |
| Full Name | Omfs Surgery Center, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6950 Smoke Ranch Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Brendan G Johnson (PRESIDENT) |
| Authorized Official Contact | 7023608918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omfs Surgery Center, Llc 6950 Smoke Ranch Rd Suite 200 Las Vegas NV 89128-1300 Ph: (702) 360-8918 | Omfs Surgery Center, Llc 6950 Smoke Ranch Rd Suite 200 Las Vegas NV 89128-1300 Ph: (702) 360-8918 |
| NPI Number | 1043573553 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 06/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043573553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | S228 (Nevada) | Primary |
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