| NPI | 1558428490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRION PATRICK DALTON Owner 402-934-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 6243) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |