| Full Name | K & L Oms, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1475 Ne Williamson Blvd, Bend, Oregon |
| Authorized Official Name and Position | John Garrity (ADMINISTRATOR) |
| Authorized Official Contact | 5416173993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K & L Oms, Llc 1475 Ne Williamson Blvd Bend OR 97701 Ph: (541) 382-1053 | K & L Oms, Llc 1475 Ne Williamson Blvd Bend OR 97701 Ph: (541) 382-1053 |
| NPI Number | 1619423787 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 01/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619423787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D6629 (Oregon) | Primary |
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