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Organization
MOBILE DENTAL CARE OF NEBRASKA LLC
Active
Organization
MOBILE DENTAL CARE OF NEBRASKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELIA RITTER (CREDENTIALING MANAGER)
(502) 244-2441
Entity
Organization
Contact information
Practice address
2525 S 135TH AVE, OMAHA, NE 68144-2424
(502) 244-2441
(502) 254-4069
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2441
(502) 254-4069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
09/11/2014
Last updated
02/02/2017
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