Organization
PRAIRIE DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA RAE REID DDS (PRESIDENT)
(402) 483-7595
Entity
Organization
Contact information
Practice address
6944 A ST, SUITE B, LINCOLN, NE 68510-4112
(402) 483-7597
Mailing address
6944 A ST, SUITE B, LINCOLN, NE 68510-4112
(402) 483-7597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6673
NE
Other
Enumeration date
01/13/2007
Last updated
08/22/2020
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