| NPI | 1720749120 |
|---|---|
| Doing Business As | FREMONT CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KEVIN PATRICK MCKENNA President 402-366-8141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |