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Organization

AESTHETIC & FAMILY DENTISTRY LLC

Active
Other names
Aesthetic & Family Dentistry:Cameron Larry a DDS
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY A CAMERON DDS (OWNER)
(402) 293-1234
Entity
Organization

Contact information

Practice address
505 CORNHUSKER RD STE 102, BELLEVUE, NE 68005-7911
(402) 293-1234
(402) 293-9364
Mailing address
505 CORNHUSKER RD STE 102, BELLEVUE, NE 68005-7911
(402) 293-1234
(402) 293-9364

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4837
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1223G0001X
NE
Enumeration date
11/05/2014
Last updated
11/05/2014
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