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Organization

JUSTIN SHIRK DDS LLC

Active
Other names
Pioneer Greens Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUSTIN SHIRK DDS (OWNER)
(785) 871-0692
Entity
Organization

Contact information

Practice address
4444 S 86TH ST STE 101, LINCOLN, NE 68526-9253
(785) 871-0692
Mailing address
1725 E PINE GROVE CT, DERBY, KS 67037-3950
(785) 871-0692

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/24/2023
Last updated
01/24/2023
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