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Organization
TODAY'S DENTAL TRANQUILITY PARK
Active
Organization
TODAY'S DENTAL TRANQUILITY PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT J RISING DDS (PRESIDENT/OWNER DDS)
(402) 496-9950
Entity
Organization
Contact information
Practice address
12322 EMMET ST, OMAHA, NE 68164-4267
(402) 496-9950
(402) 496-9778
Mailing address
12322 EMMET ST, OMAHA, NE 68164-4267
(402) 496-9950
(402) 496-9778
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5480
NE
261QD0000X
Dental Clinic/Center
6819
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04798
BCBS
NE
01
—
05682
BCBS
NE
Enumeration date
04/23/2012
Last updated
08/11/2015
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