| NPI | 1104158948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL K OBENG Owner/President 402-597-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NE 5964) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-03-03 |