Organization
AA OMAHA EMERGECNY DENTAL CARE USA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL K OBENG DDS (OWNER/PRESIDENT)
(402) 597-1186
Entity
Organization
Contact information
Practice address
2605 S 84TH ST, OMAHA, NE 68124-3116
(402) 926-4411
(402) 393-2902
Mailing address
1338 N 143RD AVENUE CIR, OMAHA, NE 68154-5108
(402) 597-1186
(402) 332-4629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5964
NE
Other
Enumeration date
02/04/2010
Last updated
03/03/2010
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