Individual
BOBBI AUGUSTYN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5231 CENTER ST, OMAHA, NE 68106-2336
(402) 551-2238
(402) 551-4314
Mailing address
5231 CENTER ST, OMAHA, NE 68106-2336
(402) 551-2238
(402) 551-4314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6536
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1756016
UNITED CONCORDIA PROVIDER
NE
Enumeration date
06/12/2006
Last updated
07/08/2007
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