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Organization
GV DENTAL, LLC
Active
Organization
GV DENTAL, LLC
Active
Other names
Gufford Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN S GUFFORD DDS (DR./ OWNER)
(402) 721-8770
Entity
Organization
Contact information
Practice address
1605 E MILITARY AVE, FREMONT, NE 68025-5463
(402) 721-8770
Mailing address
1605 E MILITARY AVE, FREMONT, NE 68025-5463
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4639
NE
1223G0001X
General Practice Dentistry
7221
NE
Other
Enumeration date
07/26/2016
Last updated
09/22/2016
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