| NPI | 1447529581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WESLEY HAUGEN Orthodontist 308-534-1783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NE 5999) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |