Organization
STOP DECAY PC
Active
Other names
Vinton Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLENE J KING (OFFICE MANAGER)
(402) 341-5306
Entity
Organization
Contact information
Practice address
2002 VINTON STREET, OMAHA, NE 68108-1821
(402) 341-5306
(402) 346-1905
Mailing address
2002 VINTON STREET, OMAHA, NE 68108-1821
(402) 341-5306
(402) 346-1905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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