NPI | 1407105299 |
---|---|
Doing Business As | LINCOLN PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | JENNI K WALL Insurance And Billing Manager 402-476-1500 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
Enumeration Date | 2012-09-07 |
Last Update Date | 2022-01-12 |