NPI | 1295343119 |
---|---|
Doing Business As | ABC PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | CONNER JOHN CHRISTENSEN Pediatric Dentist 402-440-5714 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2020-07-16 |
Last Update Date | 2020-07-22 |