Individual
DR. TESSA MCDERMOTT DERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5311 S 138TH ST, OMAHA, NE 68137-2913
(402) 334-5656
Mailing address
9222 BURT ST APT 310, OMAHA, NE 68114-2431
(402) 320-1027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7651
NE
Other
Enumeration date
07/07/2020
Last updated
07/23/2020
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