DONALD L THEOPHILUS

NORFOLK, NE
NPI1174694780
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NE  3996)
Enumeration Date2006-11-13
Last Update Date2007-07-08
Business Address
-- DONALD L THEOPHILUS DDS
1105 S 13TH ST
NORFOLK, NE 68701-5767
Phone number: 402-371-1360
Mailing Address
-- DONALD L THEOPHILUS DDS
PO BOX 1203
NORFOLK, NE 68702-1203
Phone number: 402-371-1360