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1306294897
LOGAN T DUDZINSKI
OMAHA, NE
NPI
1306294897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NE 7299)
Additional Taxonomies
122300000X Dentist
(Licence: IA 09280)
Enumeration Date
2016-05-25
Last Update Date
2016-12-20
Business Address
-- LOGAN T DUDZINSKI D.D.S.
2002 VINTON ST
OMAHA, NE 68108-1921
Phone number: 402-341-5306
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Mailing Address
-- LOGAN T DUDZINSKI D.D.S.
2002 VINTON ST
OMAHA, NE 68108-1921
Phone number: 402-341-5306
Copy
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