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1568682052
WILDERNESS STATION PEDIATRIC DENTISTRY
LINCOLN, NE
NPI
1568682052
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Entity Type
Organization
Authorized Contact
MARTIN D. KILLEEN
Doctor
402-420-8020
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: NE 6492)
Enumeration Date
2007-04-26
Last Update Date
2014-12-23
Business Address
WILDERNESS STATION PEDIATRIC DENTISTRY
8020 S 13TH ST
LINCOLN, NE 68512-9371
Phone number: 402-420-8020
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Mailing Address
WILDERNESS STATION PEDIATRIC DENTISTRY
8020 S 13TH ST
LINCOLN, NE 68512-9371
Phone number: 402-420-8020
Copy
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