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1740367804
MARK WILLIAM BEATTY
OMAHA, NE
NPI
1740367804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NE 5791)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
-- MARK WILLIAM BEATTY DDS
4101 WOOLWORTH
OMAHA, NE 68105
Phone number: 402-472-1261
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Mailing Address
-- MARK WILLIAM BEATTY DDS
2000 S 26TH ST
LINCOLN, NE 68502-3025
Phone number: 402-472-1261
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