NPI | 1255540290 |
---|---|
Entity Type | Organization |
Authorized Contact | DEAN ROBERT DUTTER Owner 402-441-4400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 4643) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |