| NPI | 1922302272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JEANNE SOUKUP Partner 402-476-8058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 6260) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |