Individual
LEE A DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
114 E 2ND ST, LAUREL, NE 68745-0488
(402) 256-3231
(402) 256-9535
Mailing address
114 E 2ND ST, LAUREL, NE 68745-0488
(402) 256-3231
(402) 256-9535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4448
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025365600
—
NE
01
—
5690
BCBS OF NE
NE
Enumeration date
10/24/2006
Last updated
07/08/2007
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