Individual
KARA LILIENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6110 S 191ST ST, OMAHA, NE 68135-4272
(402) 505-1910
Mailing address
6110 S 191ST ST, OMAHA, NE 68135-4272
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2312
NE
Other
Enumeration date
12/20/2018
Last updated
12/30/2019
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