| NPI | 1932235645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D FITZGERALD President 402-551-1757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 4008) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |