NPI | 1184753907 |
---|---|
Doing Business As | CREIGHTON DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | SUSAN L. SIMMERS Financial Officer 402-280-5065 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-08-22 |