JACOB COPENHAVER

OMAHA, NE
NPI1750063970
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NE  7959)
Enumeration Date2023-08-07
Last Update Date2023-08-07
Business Address
JACOB COPENHAVER Dds
11110 FORT ST STE 106
OMAHA, NE 68164-2183
Phone number: 402-492-8300
Mailing Address
JACOB COPENHAVER Dds
2817 N 66TH AVE
OMAHA, NE 68104-3927
Phone number: 402-215-1165
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