NPI | 1023481066 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC D HODGES DDS Owner 402-397-3377 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NE 5524) |
Enumeration Date | 2015-11-12 |
Last Update Date | 2015-11-12 |