| NPI | 1356325146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD PHILLIP KRESKI Periodontist 402-397-4416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NE 3225) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2008-06-23 |