| NPI | 1962233502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY C. WEEDER Owner/Pediatric Dentist 402-932-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |