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Organization
PREMIER SMILE DENTAL ASSOCIATION PC
Active
Organization
PREMIER SMILE DENTAL ASSOCIATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE EBKE DDS (ASSOCIATE DENTIST)
(402) 300-0506
Entity
Organization
Contact information
Practice address
17110 LAKESIDE HILLS PLZ, OMAHA, NE 68130-5600
(402) 300-0506
Mailing address
56470 HIGHWAY 4, DAYKIN, NE 68338-3033
(402) 300-0506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7222
NE
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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