| NPI | 1457400681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ALAN HAMILTON Member 402-770-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NE 6244) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |