| NPI | 1043371131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS A KANNING Owner 402-554-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 6264) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2013-07-17 |