| NPI | 1275677619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CACI IRENE LIEBENTRITT President 402-390-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NE 6128) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |