NPI | 1144092685 |
---|---|
Doing Business As | FAMILY DENTAL PC |
Entity Type | Organization |
Authorized Contact | SEAN D PAULEY Owner 402-540-6124 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-10-27 |
Last Update Date | 2023-10-27 |