| NPI | 1932129640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMI JO WEBB Owner 308-630-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NE 6281) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-01-07 |