NPI | 1235231382 |
---|---|
Entity Type | Organization |
Authorized Contact | JON C. ASBJORNSON President 402-483-4171 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 5483) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2020-08-22 |