| NPI | 1487670774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA CLOET Dental Hygiene Program Director 402-461-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |