# COMFORT DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760819619
- **Authorized official:** HIBA A KELLOW DDS (DENTIST)
- **Authorized official phone:** (402) 331-0701

## Contact information

- **Practice address:** 5305 S 96TH ST, OMAHA, NE 68127-3317
- **Practice address phone:** (402) 331-0701
- **Practice address fax:** (402) 331-7130
- **Mailing address:** 5305 S 96TH ST, OMAHA, NE 68127-3317
- **Mailing address phone:** (402) 331-0701
- **Mailing address fax:** (402) 331-7130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2013
- **Last updated:** 10/08/2013