# FAMILY FIRST DENTAL ASSOCIATES OF WAUSA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family 1st Dental of Osmond
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952568693
- **Authorized official:** ANN L. STOLTENBERG (SUPPORT MANAGER FAMILY 1ST DENTAL)
- **Authorized official phone:** (712) 830-5356

## Contact information

- **Practice address:** 345 N. STATE ST, OSMOND, NE 68765-0250
- **Practice address phone:** (402) 748-3713
- **Practice address fax:** (402) 748-3707
- **Mailing address:** 345 N. STATE ST BOX 250, OSMOND, NE 68765-0250
- **Mailing address phone:** (402) 748-3713
- **Mailing address fax:** (402) 748-3707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 06/04/2021