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Organization

CAPITAL DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADDISON JAMES KILLEEN DDS (OWNER)
(402) 420-0999
Entity
Organization

Contact information

Practice address
5609 S 27TH ST STE D, LINCOLN, NE 68512-1602
(402) 420-0999
Mailing address
5609 S 27TH ST STE D, LINCOLN, NE 68512-1602
(402) 420-0999

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
08/21/2019
Last updated
08/21/2019
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