| NPI | 1831338938 |
|---|---|
| Doing Business As | WEST NE TMJ CENTER |
| Entity Type | Organization |
| Authorized Contact | CARLA J WILSON Business Manager 308-247-3381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |