| NPI | 1982147179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J HOOVER President 402-397-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NE 5940) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: NE 3447) |
| 261QD0000X Clinic/Center, Dental (Licence: NE 7162) | |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |