| NPI | 1528149580 |
|---|---|
| Other Name | ADULT GENERAL DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RANDAL L HAACK Assistant Dean Of Operations 402-472-3492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-12-18 |