Organization
FULL CIRCLE DENTAL
Active
Other names
Ravenna Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIVIA GRACE FOCKEN DDS (OWNER)
(308) 440-1540
Entity
Organization
Contact information
Practice address
102 W SENECA ST, RAVENNA, NE 68869-1363
(308) 455-7069
Mailing address
102 W SENECA ST, RAVENNA, NE 68869-1363
(308) 455-7069
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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