| NPI | 1871889279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIS J APPLEGATE Office Manager 308-236-7306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 5047) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |