SUMMIT DENTAL HEALTH - BLONDO LLC

OMAHA, NE
NPI1124418892
Entity TypeOrganization
Authorized ContactCOREZ LOGAN
Credentialing Specialist
502-254-8500
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2015-02-02
Last Update Date2015-02-02
Business Address
SUMMIT DENTAL HEALTH - BLONDO LLC
2005 N 90TH ST
OMAHA, NE 68134-6002
Phone number: 402-799-1016
Mailing Address
SUMMIT DENTAL HEALTH - BLONDO LLC
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number: 502-254-8500
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