| NPI | 1427627843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CHRISTINE SHEETS Dentist/Owner 402-202-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-11-22 |