| NPI | 1558690545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFOLABI OLUFOLAHAN OGUNLEYE Owner 402-708-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NE 6642) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2011-02-15 |