Individual
THEODORE BOLAMPERTI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14481 W CENTER RD, OMAHA, NE 68144-5401
(402) 330-2007
(402) 330-2594
Mailing address
14481 W CENTER RD, OMAHA, NE 68144-5401
(402) 330-2007
(402) 330-2594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3748
NE
Other
Enumeration date
10/12/2005
Last updated
07/08/2007
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