NPI | 1861619199 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNE M ABDOUCH Office Manager 402-393-5857 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 6111) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2020-08-22 |