| NPI | 1801165428 |
|---|---|
| Doing Business As | CENTRAL CITY FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KRISTEN R HERMANSEN-RYAN Owner 308-946-3059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 6693) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |