| NPI | 1952747776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUKAR B RAJBHANDARI Managing Partner 402-321-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27213) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 27877) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |