Organization
DERMATOLOGY SURGERY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA KAY DILTS (ADMINISTRATOR)
(402) 330-4555
Entity
Organization
Contact information
Practice address
11623 ARBOR ST, SUITE 102, OMAHA, NE 68144-2981
(402) 330-4555
(402) 330-4626
Mailing address
11623 ARBOR ST, SUITE 102, OMAHA, NE 68144-2981
(402) 330-4555
(402) 330-4626
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASC005
NE
Other
Enumeration date
05/05/2006
Last updated
07/11/2011
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