NPI | 1578944435 |
---|---|
Doing Business As | LILLY FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHARLES S SKOGLUND Owner 402-644-3177 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-06-16 |
Last Update Date | 2015-06-17 |