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Organization
CRETE FAMILY DENTAL, LLC
Active
Organization
CRETE FAMILY DENTAL, LLC
Active
Other names
Crete Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE GALL (OFFICE ADMINISTRATOR)
(402) 904-6005
Entity
Organization
Contact information
Practice address
1005 E. HIGHWAY 33, SUITE 7, CRETE, NE 68333-2546
(402) 418-7214
(402) 420-7045
Mailing address
6040 VILLAGE DR, STE 1, LINCOLN, NE 68516-6640
(402) 420-2222
(402) 420-7045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7178
NE
Other
Enumeration date
01/11/2016
Last updated
02/25/2016
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