| NPI | 1326535261 |
|---|---|
| Doing Business As | AUGUSTA DENTAL |
| Entity Type | Organization |
| Authorized Contact | DYLAN C GAILLARD Dentist/Owner 402-334-5052 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |