NPI | 1053471540 |
---|---|
Doing Business As | HEARTLAND FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | KEITH C CHRISTIANSEN President 402-533-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 4792) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 5490) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2020-08-22 |