THOMAS J FORMANACK

OMAHA, NE
NPI1023193182
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NE  4024)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
-- THOMAS J FORMANACK D.D.S.
17775 MASON ST SUITE 1
OMAHA, NE 68118-3559
Phone number: 402-758-9399
Mailing Address
-- THOMAS J FORMANACK D.D.S.
16597 HASCALL ST
OMAHA, NE 68130-2060
Phone number: 402-697-9401
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