| NPI | 1003182783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VOLNEY LOFGREEN Dentist 308-381-0167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 4258) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 6282) |
| 1223G0001X Dentist, General Practice (Licence: NE 4264) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NE 5663) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |