| NPI | 1649646746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DURHAM Assistant Dean For Patient Services 402-472-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 7260) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |