NPI | 1700373602 |
---|---|
Doing Business As | GEORGETOWNE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | DYLAN C GAILLARD Dentist/Owner 402-330-6080 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-04-16 |
Last Update Date | 2018-04-16 |