Organization
BLUE SKY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY F SWIRCZEK DDS (OWNER)
(402) 991-9423
Entity
Organization
Contact information
Practice address
2430 S 73RD ST, SUITE 202, OMAHA, NE 68124-2397
(402) 991-9423
(402) 991-9890
Mailing address
2430 S 73RD ST, SUITE 202, OMAHA, NE 68124-2397
(402) 991-9423
(402) 991-9890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025997800
—
NE
Enumeration date
05/07/2014
Last updated
05/07/2014
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