| NPI | 1316159403 |
|---|---|
| Doing Business As | VINTON STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | DARLENE J KING Office Manager 402-341-5306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |