| 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 |