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Organization
UNIVERSITY OF NEBRASKA MEDICAL CENTER
Active
Organization
UNIVERSITY OF NEBRASKA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILLIAN WALLEN BDS (PROGRAM DIRECTOR)
(402) 559-7954
Entity
Organization
Contact information
Practice address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
(402) 559-7954
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
(402) 559-7954
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
94
NE
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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