Organization
OMAHA PERIODONTICS AND IMPLANT DENTISTRY LLC
Active
Other names
Omaha Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICA E JASA DDS,MS (PERIODONTIST)
(402) 431-8688
Entity
Organization
Contact information
Practice address
624 N 129TH ST STE 200, OMAHA, NE 68154-6110
(402) 431-8688
Mailing address
624 N 129TH ST STE 200, OMAHA, NE 68154-6110
(402) 431-8688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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