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Organization
DENTAL PROFESSIONALS OF NEBRASKA, PC
Active
Organization
DENTAL PROFESSIONALS OF NEBRASKA, PC
Active
Parent organization
DENTAL PROFESSIONALS OF NEBRASKA, PC
Other names
Lakeside Dental - Omaha
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF NEBRASKA, PC
Authorized official
CASSANDRA TEUTSCH (CREDENTIALING COORDINATOR)
(217) 540-8972
Entity
Organization
Contact information
Practice address
2505 S 174TH PLZ, OMAHA, NE 68130-2361
(402) 697-3838
Mailing address
2505 S 174TH PLZ, OMAHA, NE 68130-2361
(402) 697-3838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
07/21/2022
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