| NPI | 1013907732 |
|---|---|
| Former Legal Business Name | FOX PLAZA DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHARLENE H YUAN Owner Dentist 402-398-1788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 6035) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2015-09-15 |