Individual
HOLLY LYNN INGERSOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18009 OAK ST STE A, OMAHA, NE 68130-6096
(402) 200-3457
Mailing address
18009 OAK ST STE A, OMAHA, NE 68130-6096
(402) 200-3457
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7836
NE
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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