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1902342280
MIDTOWN DENTAL, LLC
OMAHA, NE
NPI
1902342280
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Entity Type
Organization
Authorized Contact
TYLER J SIEGERT
Dentist
402-556-9117
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2017-01-11
Last Update Date
2017-01-11
Business Address
MIDTOWN DENTAL, LLC
3801 DODGE ST
OMAHA, NE 68131-3121
Phone number: 402-556-9117
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Mailing Address
MIDTOWN DENTAL, LLC
3801 DODGE ST
OMAHA, NE 68131-3121
Phone number: 402-556-9117
Copy
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