| NPI | 1073748125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL OBENG President/Owner 402-597-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 60065986) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |