| NPI | 1679653661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WENTWORTH MAY President 402-727-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NE 3956) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |