| NPI | 1679273437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MCALLISTER President 402-817-9810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |