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Organization
AMBER IDE DDS, LLC
Active
Organization
AMBER IDE DDS, LLC
Active
Other names
Ide Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER IDE DDS (OWNER)
(308) 784-3377
Entity
Organization
Contact information
Practice address
1002 MERIDIAN AVE, COZAD, NE 69130-1757
(308) 784-3377
(308) 784-3395
Mailing address
PO BOX 147, COZAD, NE 69130-0147
(308) 784-3377
(308) 784-3395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/23/2021
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