| NPI | 1700179876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS D WEISS President 402-330-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NE 4184) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |