| NPI | 1831214279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L TREAT President 402-421-1905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 4874) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 4741) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2014-05-14 |