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Organization
DUDZINSKI DENTAL PC
Active
Organization
DUDZINSKI DENTAL PC
Active
Parent organization
STOP DECAY PC
Other names
New Image Dentistry at Village Pointe
Organization subpart
Yes
Provider details
NPI number
Legal business name
STOP DECAY PC
Authorized official
DARLENE KING (PRACTICE MANAGER)
(402) 341-5306
Entity
Organization
Contact information
Practice address
17404 BURKE ST, OMAHA, NE 68118-2239
(402) 493-2112
(402) 493-8399
Mailing address
2002 VINTON ST, OMAHA, NE 68108-1921
(402) 341-5306
(402) 346-1905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5481
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598992026
—
IA
05
—
47064716913
—
NE
Enumeration date
08/25/2014
Last updated
02/10/2020
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