| NPI | 1891051991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J JONES President 402-694-6154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 6362) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |