| NPI | 1386066710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DECLAN FLYNN Chief Financial Offcer 402-572-7677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 6506) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |