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Organization
DENTAL PROFESSIONALS OF NEBRASKA, PC
Active
Organization
DENTAL PROFESSIONALS OF NEBRASKA, PC
Active
Parent organization
DENTAL PROFESSIONALS OF NEBRASKA, PC
Other names
Papillion Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF NEBRASKA, PC
Authorized official
KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
8420 S 71ST PLZ, SUITE 107, PAPILLION, NE 68133-2138
(402) 682-7579
Mailing address
8420 S 71ST PLZ, SUITE 107, PAPILLION, NE 68133-2138
(402) 682-7579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7180
NE
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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