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Organization
MILFORD DENTAL CLINIC
Active
Organization
MILFORD DENTAL CLINIC
Active
Parent organization
MILFORD DENTAL CLINIC, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILFORD DENTAL CLINIC, PC
Authorized official
JEFFERY SPAHR (DDS/OWNER)
(402) 761-2351
Entity
Organization
Contact information
Practice address
501 7TH ST, FAIRBURY, NE 68352-2309
(402) 729-6277
Mailing address
501 7TH ST, FAIRBURY, NE 68352-2309
(402) 729-6277
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6190
BLUE CROSS/BLUE SHIELD
NE
Enumeration date
01/14/2019
Last updated
01/14/2019
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