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1376796250
RICHARD ALAN SAMPLE
BELLEVUE, NE
NPI
1376796250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NE 4265)
Enumeration Date
2008-10-23
Last Update Date
2008-10-23
Business Address
DR. RICHARD ALAN SAMPLE DDS
111 W 20TH AVE
BELLEVUE, NE 68005-5014
Phone number: 402-291-4995
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Mailing Address
DR. RICHARD ALAN SAMPLE DDS
111 W 20TH AVE
BELLEVUE, NE 68005-5014
Phone number: 402-291-4995
Copy
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