| NPI | 1417275611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHE Z Business Coordinator 402-330-6757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 6854) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |