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Organization
LIFESMILES OF SIDNEY
Active
Organization
LIFESMILES OF SIDNEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEASA DORNBIER (DENTIST/OWNER)
(308) 249-1810
Entity
Organization
Contact information
Practice address
1040 OLD POST RD, SIDNEY, NE 69162-3065
(308) 254-7171
(308) 254-7172
Mailing address
1040 OLD POST RD, SIDNEY, NE 69162-3065
(308) 254-7171
(308) 254-7172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6683
NE
Other
Enumeration date
12/07/2011
Last updated
10/07/2016
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