| NPI | 1013219633 |
|---|---|
| Doing Business As | LINCOLN PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JENNI K WALL Insurance And Billing Manager 402-476-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2022-01-12 |