| NPI | 1437467628 |
|---|---|
| Doing Business As | TIMBER RIDGE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JEAN ANN KERGER Corporate Secretary 402-492-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |