# AESTHETIC & FAMILY DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aesthetic & Family Dentistry:Cameron Larry a DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033515903
- **Authorized official:** LARRY A CAMERON DDS (OWNER)
- **Authorized official phone:** (402) 293-1234

## Contact information

- **Practice address:** 505 CORNHUSKER RD STE 102, BELLEVUE, NE 68005-7911
- **Practice address phone:** (402) 293-1234
- **Practice address fax:** (402) 293-9364
- **Mailing address:** 505 CORNHUSKER RD STE 102, BELLEVUE, NE 68005-7911
- **Mailing address phone:** (402) 293-1234
- **Mailing address fax:** (402) 293-9364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4837 | NE | Yes |

## Other

- **Enumeration date:** 11/05/2014
- **Last updated:** 11/05/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1223G0001X | — | NE |