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1164876637
PIONEER PERIODONTICS & IMPLANT DENTISTRY PC
LINCOLN, NE
NPI
1164876637
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Entity Type
Organization
Authorized Contact
JOHN E RUTLDEGE
Periodontist/Owner
402-483-7631
Organization Subpart ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
Enumeration Date
2016-04-20
Last Update Date
2016-04-20
Business Address
PIONEER PERIODONTICS & IMPLANT DENTISTRY PC
1640 S 70TH ST STE #200
LINCOLN, NE 68506-1571
Phone number: 402-483-7631
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Mailing Address
PIONEER PERIODONTICS & IMPLANT DENTISTRY PC
1640 S 70TH ST STE #200
LINCOLN, NE 68506-1571
Phone number: 402-483-7631
Copy
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