| NPI | 1295344406 |
|---|---|
| Doing Business As | 90TH T DODGE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NICOLE JANINE LECCI Owner/Dentist 402-670-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |