| NPI | 1912472192 |
|---|---|
| Doing Business As | PRAIRIE SKIES DENTAL |
| Entity Type | Organization |
| Authorized Contact | LONNIE R. FLAGTWET Owner 402-483-6662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |