RICHARD ALAN SAMPLE

BELLEVUE, NE
NPI1376796250
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: NE  4265)
Enumeration Date2008-10-23
Last Update Date2008-10-23
Business Address
DR. RICHARD ALAN SAMPLE DDS
111 W 20TH AVE
BELLEVUE, NE 68005-5014
Phone number: 402-291-4995
Mailing Address
DR. RICHARD ALAN SAMPLE DDS
111 W 20TH AVE
BELLEVUE, NE 68005-5014
Phone number: 402-291-4995