RAYMOND SCOTT SHADDY

OMAHA, NE
NPI1811904154
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: NE  5579)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
RAYMOND SCOTT SHADDY DDS
5674 N 103RD ST
OMAHA, NE 68134-1007
Phone number: 402-493-5800
Mailing Address
RAYMOND SCOTT SHADDY DDS
5674 N 103RD ST
OMAHA, NE 68134-1007
Phone number: 402-493-5800
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