Individual
DR. MATTHEW SERBOUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
638 N WEBB RD STE 1, GRAND ISLAND, NE 68803-4057
(308) 340-2568
Mailing address
1503 MANSFIELD RD, GRAND ISLAND, NE 68803-1547
(308) 340-2568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7108
NE
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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