| NPI | 1881727485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE JAMES BOLAMPERTI Dentist 402-339-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 4854) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |