NPI | 1902059397 |
---|---|
Entity Type | Organization |
Authorized Contact | LIBBY ANN LASHLEY Clinic Coordinator 308-534-1289 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 6207) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 6094) |
1223G0001X Dentist, General Practice (Licence: NE 4669) | |
Enumeration Date | 2008-10-29 |
Last Update Date | 2008-10-29 |