INNOVATIVE DENTAL, P.C.

OMAHA, NE
NPI1932233095
Entity TypeOrganization
Authorized ContactTHOMAS P BERRY
Owner
402-933-8005
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NE  6521)
Enumeration Date2007-03-14
Last Update Date2008-05-07
Business Address
INNOVATIVE DENTAL, P.C.
13625 CALIFORNIA ST SUITE 300
OMAHA, NE 68154-5233
Phone number: 402-933-8005
Mailing Address
INNOVATIVE DENTAL, P.C.
13625 CALIFORNIA ST SUITE 300
OMAHA, NE 68154-5233
Phone number: 402-933-8005
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