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1194884296
FAMILY AND COSMETIC DENTISTRY PC
OMAHA, NE
NPI
1194884296
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Entity Type
Organization
Authorized Contact
TIMOTHY RAY ELLIS
President
402-334-8208
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2006-12-06
Last Update Date
2012-08-01
Business Address
FAMILY AND COSMETIC DENTISTRY PC
11836 ELM STREET SUITE 1
OMAHA, NE 68144-4439
Phone number: 402-334-8208
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Mailing Address
FAMILY AND COSMETIC DENTISTRY PC
12518 A STREET
OMAHA, NE 68144-4137
Phone number: 402-330-8216
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