Organization
MOBILE DENTAL CARE OF NEBRASKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELIA RITTER (CREDENTIALING MANAGER)
(502) 244-2441
Entity
Organization
Contact information
Practice address
2525 S 135TH AVE, OMAHA, NE 68144-2424
(502) 244-2441
(502) 254-4069
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2441
(502) 254-4069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
09/11/2014
Last updated
02/02/2017
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