| NPI | 1194244392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY S. WILLETT Orthodontist 402-489-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NE 7151) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2022-07-21 |