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Organization
FULL CIRCLE DENTAL
Active
Organization
FULL CIRCLE DENTAL
Active
Other names
Ravenna Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIVIA GRACE FOCKEN DDS (OWNER)
(308) 440-1540
Entity
Organization
Contact information
Practice address
102 W SENECA ST, RAVENNA, NE 68869-1363
(308) 455-7069
Mailing address
102 W SENECA ST, RAVENNA, NE 68869-1363
(308) 455-7069
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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