Organization
SUPERIOR FAMILY DENTAL 107TH
Active
Other names
Superior Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD G SMITH JR. DDS (OWNER)
(402) 391-1047
Entity
Organization
Contact information
Practice address
10730 PACIFIC ST, STE105, OMAHA, NE 68114-4799
(402) 391-1047
(402) 391-0309
Mailing address
10730 PACIFIC ST, STE105, OMAHA, NE 68114-4799
(402) 391-1047
(402) 391-0309
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4294
NE
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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