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Individual

DR. DAVID J. MILLEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2746 NO 63RD ST, OMAHA, NE 68104
(402) 553-1042
(402) 553-1042
Mailing address
PO BOX 4464, 2746 NO 63RD ST, OMAHA, NE 68104
(402) 553-1042
(402) 553-1042

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4582
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025374100
NE
01
4582
STATE LICENSE NO
NE
Enumeration date
05/01/2007
Last updated
08/21/2023
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