Individual
THOMAS M O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3602 EDGERTON DRIVE, BELLEVUE, NE 68123
(402) 731-0989
Mailing address
3602 EDGERTON DRIVE, BELLEVUE, NE 68123
(402) 731-0989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5337
NE
Other
Enumeration date
10/13/2006
Last updated
08/11/2015
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