| NPI | 1306466081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE M TOOMBS Practice Administrator 402-317-5657 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |