| NPI | 1184086597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KEITH BUNDY Owner/ Dentist 402-521-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NE 7082) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-25 |