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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
Summit Plaza Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF NEBRASKA, PC
Authorized official
ALLISON VARNER (CREDENTIALING COORDINATOR)
(217) 540-6077
Entity
Organization
Contact information
Practice address
3615 SUMMIT PLAZA DR, SUITE 101, BELLEVUE, NE 68123-1003
(402) 881-8069
Mailing address
3615 SUMMIT PLAZA DR, SUITE 101, BELLEVUE, NE 68123-1003
(402) 881-8069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6878
NE
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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