| NPI | 1891039830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ALDERMAN Dentist 402-742-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 6735) |
| Additional Taxonomies | 122300000X Dentist (Licence: NE 6085) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |