Organization
IRISH TAYLOR DENTAL OF ELMWOOD LLC
Active
Other names
Elmwood Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KICHA CALDEIRA-IRISH DDS (OWNER/DENTIST)
(402) 553-7888
Entity
Organization
Contact information
Practice address
1512 S 60TH ST, OMAHA, NE 68106-2163
(402) 553-7888
(402) 553-7899
Mailing address
1512 S 60TH ST, OMAHA, NE 68106-2163
(402) 553-7888
(402) 553-7899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6678
NE
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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