| NPI | 1851466866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON W TULLIS Senior Partner 402-464-1861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 3429) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2012-03-12 |