| NPI | 1508426818 |
|---|---|
| Doing Business As | NYE AVENUE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BETHANY J OLSON Dentist/Ownder 402-721-2252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |