| NPI | 1891096814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON D. STINEMAN Owner/President 402-644-4452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NE 6026) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2017-04-07 |