NPI | 1912260019 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA JILL SVEEN President 402-434-3367 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NE 5241) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2015-12-10 |