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1417216722
DR. MARK VANICEK
LINCOLN, NE
NPI
1417216722
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Entity Type
Organization
Authorized Contact
MARK VANICEK
Dds
402-420-2600
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: NE 5311)
Enumeration Date
2012-05-07
Last Update Date
2012-05-07
Business Address
DR. MARK VANICEK
6101 VILLAGE DR STE 102
LINCOLN, NE 68516-5830
Phone number: 402-420-2600
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Mailing Address
DR. MARK VANICEK
7621 KENNELLEY DR
LINCOLN, NE 68516-3797
Phone number: 402-420-2600
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