NPI | 1639766876 |
---|---|
Doing Business As | DONIPHAN DENTAL SERVICES |
Entity Type | Organization |
Authorized Contact | NICOLE LYNN DELGADO Office Coordinator 402-462-6410 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-12-22 |
Last Update Date | 2020-12-30 |