| NPI | 1093166357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW B ATTANASIO President 402-580-7039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NE 7313) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |