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1841030681
NE SPECIALTY DENTAL SERVICES LLC
COUNCIL BLUFFS, IA
NPI
1841030681
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Entity Type
Organization
Authorized Contact
CHARLOTTE DASCH
Director Of Cred Of Pr
615-678-0759
Organization Subpart ?
Yes
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
NE SPECIALTY DENTAL SERVICES LLC
40 NORTHCREST DR STE 1
COUNCIL BLUFFS, IA 51503-1698
Phone number: 712-328-9605
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Mailing Address
NE SPECIALTY DENTAL SERVICES LLC
1610 54TH AVE N STE 205
NASHVILLE, TN 37209-1442
Phone number: 615-678-0759
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