| Omni on Premises | |
|
4647 Long Beach Blvd Ste D5 Long Beach CA 90805-6976 | |
| (562) 453-0525 | |
| (562) 980-0020 |
| Full Name | Omni on Premises |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4647 Long Beach Blvd Ste D5, Long Beach, California |
| Authorized Official Name and Position | Christopher Doane (DOCTOR) |
| Authorized Official Contact | 8054507329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni on Premises 4647 Long Beach Blvd Ste D5 Long Beach CA 90805-6976 Ph: (562) 453-0525 | Omni on Premises 4647 Long Beach Blvd Ste D5 Long Beach CA 90805-6976 Ph: (562) 453-0525 |
| NPI Number | 1740040682 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740040682 | NPI | - | NPPES |
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