| NPI | 1588781306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA K. MCBRATNEY Practice Administrator 402-334-8083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NE NE4332) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2011-05-06 |