Individual
DR. ELIZABETH NICOLE DESAMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
140 E 22ND ST, FREMONT, NE 68025-2667
(402) 727-4400
(402) 727-4404
Mailing address
9716 N 151ST ST, BENNINGTON, NE 68007-1651
(314) 607-4876
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2017023594
MO
1223G0001X
General Practice Dentistry
Primary
7485
NE
Other
Enumeration date
07/09/2017
Last updated
12/15/2021
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