| NPI | 1073811014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W BECKER Owner 402-933-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 4791) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 4488) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |