| NPI | 1023450137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DARRELL CLINE President 402-721-9926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NE 6931) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NE 6510) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |