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Organization

BELLEVUE ORAL AND MAXILLOFACIAL SURGERY LLC

Active
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Organization

BELLEVUE ORAL AND MAXILLOFACIAL SURGERY LLC

Active
Other names
Premier Oral and Maxillofacil Surg
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AFOLABI OLUFOLAHAN OGUNLEYE DMD (OWNER)
(402) 708-6222
Entity
Organization

Contact information

Practice address
546 S WASHINGTON ST, PAPILLION, NE 68046-2632
(402) 916-5800
(402) 916-5900
Mailing address
546 S WASHINGTON ST, PAPILLION, NE 68046-2632
(402) 916-5800
(402) 916-5900

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6642
NE

Other

Enumeration date
12/22/2009
Last updated
02/15/2011
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