| NPI | 1144765108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KAY FOIX Office Manager 402-731-8678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 6324) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |