Individual
DR. CALLISTA MARIE HOLWEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1304 N. 40TH STREET, LINCOLN, NE 68503
(307) 421-2346
Mailing address
1304 N 40TH ST, LINCOLN, NE 68503-2108
(307) 421-2346
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1285
WY
122300000X
Dentist
95
NE
Other
Enumeration date
08/02/2011
Last updated
08/03/2012
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