| NPI | 1922525450 |
|---|---|
| Doing Business As | WILLIAMSBURG DENTAL - SOUTH STREET |
| Entity Type | Organization |
| Authorized Contact | BONNIE L GALL Clinical Coordinator 402-904-6005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 7178) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2018-03-17 |