NPI | 1972859882 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD M SHERMAN Owner 402-429-9744 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2010040606) |
Enumeration Date | 2012-07-29 |
Last Update Date | 2012-12-27 |