| NPI | 1457984817 |
|---|---|
| Doing Business As | NEW IMAGE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DARLENE KING Practice Administrator 402-341-5306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |