| NPI | 1831241447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOYLE D. GUSTAFSON President 402-391-1047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 3092) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-09-19 |