| NPI | 1912252214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE DENNY-MICKEY President/ Managing Member 402-984-7276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NE 1083) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NE 1272) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-08-04 |