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1932233095
INNOVATIVE DENTAL, P.C.
OMAHA, NE
NPI
1932233095
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Entity Type
Organization
Authorized Contact
THOMAS P BERRY
Owner
402-933-8005
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NE 6521)
Enumeration Date
2007-03-14
Last Update Date
2008-05-07
Business Address
INNOVATIVE DENTAL, P.C.
13625 CALIFORNIA ST SUITE 300
OMAHA, NE 68154-5233
Phone number: 402-933-8005
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Mailing Address
INNOVATIVE DENTAL, P.C.
13625 CALIFORNIA ST SUITE 300
OMAHA, NE 68154-5233
Phone number: 402-933-8005
Copy
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