| NPI | 1750950937 |
|---|---|
| Other Name | IDE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMBER IDE Owner 308-784-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-23 |