| NPI | 1912376617 |
|---|---|
| Former Legal Business Name | COMPREHENSIVE FAMILY DENTISTRY, L.L.C. |
| Entity Type | Organization |
| Authorized Contact | KATE WOLFORD WAWRZYNKIEWICZ President 308-532-0427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NE 7079) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |