# AA OMAHA EMERGECNY DENTAL CARE USA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104158948
- **Authorized official:** MICHAEL K OBENG DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (402) 597-1186

## Contact information

- **Practice address:** 2605 S 84TH ST, OMAHA, NE 68124-3116
- **Practice address phone:** (402) 926-4411
- **Practice address fax:** (402) 393-2902
- **Mailing address:** 1338 N 143RD AVENUE CIR, OMAHA, NE 68154-5108
- **Mailing address phone:** (402) 597-1186
- **Mailing address fax:** (402) 332-4629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5964 | NE | Yes |

## Other

- **Enumeration date:** 02/04/2010
- **Last updated:** 03/03/2010