NPI | 1932541018 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA LOW President 402-330-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NE 6846) |
Enumeration Date | 2013-07-18 |
Last Update Date | 2020-09-15 |