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Organization

REM DDS PLLC

Active
Parent organization
REM DDS PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
REM DDS PLLC
Authorized official
RIKKI LIEBERTH (OFFICE MANAGER)
(402) 505-6843
Entity
Organization

Contact information

Practice address
28755 SCHOENHERR RD STE 200, WARREN, MI 48088-4395
(402) 505-6843
Mailing address
6606 S 168TH ST STE 100, OMAHA, NE 68135-5420
(402) 505-6843

Taxonomy

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

Other

Enumeration date
10/05/2018
Last updated
11/01/2023
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