| NPI | 1700180452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL I SHNAYDER President 402-317-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: NE 6728) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |