NPI | 1174864896 |
---|---|
Entity Type | Organization |
Authorized Contact | PEGGY A. MCGINTY Owner 402-755-2291 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 124Q00000X Dental Hygienist |
126800000X Dental Assistant | |
Enumeration Date | 2013-03-05 |
Last Update Date | 2013-03-05 |