| NPI | 1760740310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSE MCCANN-CARPENTER Dentist/Owner 308-832-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 6096) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 6936) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |