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Organization

MIBOCA2LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRINO NUNO DDS (OWNER/CEO)
(402) 331-0701
Entity
Organization

Contact information

Practice address
17925 BARKER CT, STE 100, OMAHA, NE 68118
(402) 657-5143
Mailing address
17925 BARKER CT, STE 100, OMAHA, NE 68118
(402) 657-5143

Taxonomy

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

Other

Enumeration date
07/29/2022
Last updated
07/29/2022
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