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Organization
DENTAL BASICS PC
Active
Organization
DENTAL BASICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAL T RITCHIE DDS (OWNER/PRESIDENT)
(402) 384-8414
Entity
Organization
Contact information
Practice address
920 S 107TH AVE STE 106, OMAHA, NE 68114-4719
(402) 384-8414
Mailing address
920 S 107TH AVE STE 106, OMAHA, NE 68114-4719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025200700
—
NE
Enumeration date
09/08/2010
Last updated
09/08/2010
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