| NPI | 1285278028 |
|---|---|
| Doing Business As | OMAHA PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | ERICA E JASA Periodontist 402-431-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |