Organization · Type 2 NPI
Obsidian Management Group LLC
Oral and Maxillofacial Surgery (Dentist) · The Woodlands, TX
NPI number
1477216620
Active
Practice location
3117 College Park Dr Ste 150
The Woodlands, TX 77384-4192
Fax (936) 447-9738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
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About NPI 1477216620
Obsidian Management Group LLC's National Provider Identifier is 1477216620, issued on Oct 14, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in The Woodlands, TX. The record was last updated on Nov 4, 2021.