| NPI | 1366612665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DOUGLAS PALMER Vice President 402-467-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NE 4418) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |