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Individual

DR. DENNIS ELOF NILSSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
10835 COTTONWOOD LN, OMAHA, NE 68164-2677
(402) 960-2993
Mailing address
12826 BINNEY ST, OMAHA, NE 68164-4244
(402) 493-3894

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5923
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5923
DENTAL LICENSE
NE
Enumeration date
06/30/2006
Last updated
07/08/2007
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