Organization
WEST PACIFIC DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADY KEITH LYSNE DDS (DENTIST/OWNER)
(402) 697-0765
Entity
Organization
Contact information
Practice address
1201 S 157TH ST STE 105, OMAHA, NE 68130-4910
(402) 697-0765
(402) 502-9754
Mailing address
1201 S 157TH ST STE 105, OMAHA, NE 68130-4910
(402) 697-0765
(402) 502-9754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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