Organization
TOM J. MILIUS DDS, PEDIATRIC DENTISTRY, PC
Active
Other names
Children's Dentistry of Lincoln
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM J MILIUS DDS (PRESIDENT)
(402) 483-4322
Entity
Organization
Contact information
Practice address
2621 S 70TH ST, STE. A, LINCOLN, NE 68506-2911
(402) 483-4322
(402) 483-0439
Mailing address
2621 S 70TH ST, STE. A, LINCOLN, NE 68506-2911
(402) 483-4322
(402) 483-0439
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025842400
—
NE
Enumeration date
03/13/2012
Last updated
03/13/2012
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