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Organization
SOUTH OMAHA DENTAL GROUP
Active
Organization
SOUTH OMAHA DENTAL GROUP
Active
Other names
Spring Valley Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK NORMAN VARON D.D.S. (OWNER)
(402) 733-4441
Entity
Organization
Contact information
Practice address
5360 S 72ND ST, RALSTON, NE 68127-2876
(402) 733-4441
(402) 733-5863
Mailing address
5360 S 72ND ST, RALSTON, NE 68127-2876
(402) 733-4441
(402) 733-5863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5826
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470080530100
—
NE
01
—
5530
NE BCBS
NE
Enumeration date
07/29/2006
Last updated
06/18/2008
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