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Organization

DENTAL PROFESSIONALS OF NEBRASKA, PC

Active
Parent organization
DENTAL PROFESSIONALS OF NEBRASKA, PC
Other names
Maple Ridge Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL PROFESSIONALS OF NEBRASKA, PC
Authorized official
KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8312
Entity
Organization

Contact information

Practice address
3585 N 168TH CT, OMAHA, NE 68116-2201
(402) 415-0283
Mailing address
3585 N 168TH CT, OMAHA, NE 68116-2201

Taxonomy

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

Other

Enumeration date
08/21/2014
Last updated
08/21/2014
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