| NPI | 1457140535 |
|---|---|
| Doing Business As | EMERGENCY DENTAL OF JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | MARISSA ANDREWS Human Resources Manager 402-505-6843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |