| NPI | 1649359332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY J HOPPENS President 308-284-4421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NE 5159) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 8951) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KS 6990) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2012-03-27 |