| NPI | 1952763849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY KOPF Owner Doctor 402-371-0886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD 597) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |