| NPI | 1386984441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI STEVENS Office Manager 402-421-8021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NE 6432) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |