| NPI | 1528211273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J RALLIS President 402-730-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NE 6647) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |