NPI | 1598834582 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY DEE CHRISTENSEN President 308-762-6354 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 4498) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2013-04-25 |