| NPI | 1932214475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H JOHNSON President 402-932-9413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 6576) |
| Additional Taxonomies | 122300000X Dentist (Licence: UT 3417859922) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |