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Organization
SANDHILLS FAMILY DENTAL, P.C.
Active
Organization
SANDHILLS FAMILY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY LOUISE RUSSELL D.D.S (PARTNER, DENTIST)
(402) 376-1942
Entity
Organization
Contact information
Practice address
275 N MAIN ST, VALENTINE, NE 69201-1840
(402) 376-1942
(402) 376-1835
Mailing address
275 N MAIN ST, VALENTINE, NE 69201-1840
(402) 376-1942
(402) 376-1835
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7069
NE
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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