| NPI | 1023414273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PERSHING Owner 402-469-5223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |