TERRANCE L FANGMAN

OMAHA, NE
NPI1184841975
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NE  3586)
Enumeration Date2007-04-20
Last Update Date2007-07-08
Business Address
-- TERRANCE L FANGMAN D.D.S.
8761 W CENTER RD
OMAHA, NE 68124-2109
Phone number: 402-393-5857
Mailing Address
-- TERRANCE L FANGMAN D.D.S.
8761 W CENTER RD
OMAHA, NE 68124-2109
Phone number: 402-393-5857