| NPI | 1780747162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A GOLLOBIT Ins Coord 402-554-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 6354) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |