NPI | 1659516672 |
---|---|
Doing Business As | PROFESSIONAL DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM J PETERSON President 402-376-1942 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NE 4869) |
Enumeration Date | 2008-12-04 |
Last Update Date | 2018-08-17 |