| NPI | 1841372216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA J FICKE Financial Manager 402-475-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NE 5956) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |