| NPI | 1518111947 |
|---|---|
| Doing Business As | TIBURON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LIPPOLD Dentist 402-932-9413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 5416) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |