Individual
JOHN MATTHEW DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5323 N 134TH AVE, OMAHA, NE 68164-6302
(402) 492-9303
Mailing address
5323 N 134TH AVE, OMAHA, NE 68164-6302
(402) 492-9303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7813
NE
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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