| NPI | 1376432484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY E SMITH Office Manager 402-420-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |