NPI | 1912172164 |
---|---|
Other Name | EASTVIEW FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | SUSAN M CHRISTENSEN Owner 402-489-0787 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 4942) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2008-04-29 |