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Organization
NORTHEAST LINCOLN FAMILY DENTISTRY LLC
Active
Organization
NORTHEAST LINCOLN FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE R NANTKES (HR MANAGER)
(402) 309-0483
Entity
Organization
Contact information
Practice address
8521 EXPRESS DRIVE, LINCOLN, NE 68507
(402) 890-8000
(531) 500-5129
Mailing address
8521 EXPRESS DRIVE, LINCOLN, NE 68507
(402) 890-8000
(531) 500-5129
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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