| NPI | 1477324010 |
|---|---|
| Doing Business As | PIONEER ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL TEWES Owner 402-525-9217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |