| NPI | 1255060406 |
|---|---|
| Doing Business As | PACIFIC HILLS DENTAL |
| Entity Type | Organization |
| Authorized Contact | THOMAS HENRY ST GERMAIN CEO 402-968-2469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-06-05 |
| Last Update Date | 2022-06-05 |