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 |