Individual
DR. DEBRA SUSAN WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1111 N 102ND CT STE 202, OMAHA, NE 68114-2194
(402) 393-6400
(402) 393-6401
Mailing address
1111 N 102ND CT STE 202, OMAHA, NE 68114-2194
(402) 393-6400
(402) 393-6401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5836
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47076255100
—
NE
Enumeration date
10/19/2006
Last updated
12/07/2023
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