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1568518959
EKAPON TANTHANA
OMAHA, NE
NPI
1568518959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NE 6408)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
Dr. EKAPON TANTHANA dds
4843 S 24TH ST
OMAHA, NE 68107-2704
Phone number: 402-731-0388
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Mailing Address
Dr. EKAPON TANTHANA dds
4843 S 24TH ST
OMAHA, NE 68107-2704
Phone number: 402-731-0388
Copy
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