| NPI | 1194148312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA DAUBERT Office Manager 402-492-9476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 5740) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 7113) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |