Individual
THEODORE BOLAMPERTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4864 S 96TH ST, OMAHA, NE 68127-2048
(402) 339-3366
(402) 597-0345
Mailing address
4864 S 96TH ST, OMAHA, NE 68127-2048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5484
NE
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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