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Organization

MILFORD DENTAL CLINIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFERY D SPAHR DDS (OWNER/DENTIST)
(402) 761-2351
Entity
Organization

Contact information

Practice address
112 B STREET, MILFORD, NE 68405-0612
(402) 761-2351
(402) 761-3766
Mailing address
PO BOX B, MILFORD, NE 68405-0612
(402) 761-2351
(402) 761-3766

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6190
NE
261QD0000X
Dental Clinic/Center
6193
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025610500
NE
Enumeration date
10/24/2007
Last updated
06/16/2008
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