| NPI | 1720341910 |
|---|---|
| Doing Business As | BLUEBONNET DENTAL CARE- GRETNA |
| Entity Type | Organization |
| Authorized Contact | KIM ZUBER Cred Sup 217-540-5170 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2015-12-11 |