NPI | 1154570745 |
---|---|
Doing Business As | ADVANCED ENDODONTIC THERAPY |
Entity Type | Organization |
Authorized Contact | JACOB LEE FIMPLE President 402-763-4929 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NE 6675) |
Enumeration Date | 2008-09-18 |
Last Update Date | 2008-09-18 |