JACOB HUSTAD

OFFUTT AFB, NE
NPI1356895668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  1001304-15)
Enumeration Date2016-08-04
Last Update Date2016-08-04
Business Address
Dr. JACOB HUSTAD DMD
2501 CAPEHART RD
OFFUTT AFB, NE 68113-1043
Phone number: 402-294-5174
Mailing Address
Dr. JACOB HUSTAD DMD
2501 CAPEHART RD
OFFUTT AFB, NE 68113-1043
Phone number: 402-294-5174