| NPI | 1891240495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA C KOBS Office Manager 402-944-3305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 4005) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |