NPI | 1558796912 |
---|---|
Doing Business As | 40TH AND DODGE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | LUKE F. MATRANGA Dentist 402-884-4400 |
Organization Subpart ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist |
Enumeration Date | 2013-09-04 |
Last Update Date | 2013-09-04 |