| NPI | 1699005124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL L BROWN MCDONALD Owner 308-382-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 7101) |
| Additional Taxonomies | 122300000X Dentist (Licence: NE 3813) |
| 124Q00000X Dental Hygienist (Licence: NE 933) | |
| 124Q00000X Dental Hygienist (Licence: NE 2418) | |
| 122300000X Dentist (Licence: NE 4294) | |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2023-11-16 |