Organization
NEBRASKA DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER KRAUSHAAR (PROVIDER RELATIONS)
(315) 454-6000
Entity
Organization
Contact information
Practice address
206 WILMAR AVE, GRAND ISLAND, NE 68803-3559
(308) 384-7500
(308) 384-0668
Mailing address
206 WILMAR AVE, GRAND ISLAND, NE 68803-3559
(308) 384-7500
(308) 384-0668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
09/29/2015
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