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 |