Organization
DENTAL PROFESSIONALS OF NEBRASKA, PC
Active
Parent organization
DENTAL PROFESSIONALS OF NEBRASKA, P.C.
Other names
Riverside Crossing Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF NEBRASKA, P.C.
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
5619 S 204TH AVE, ELKHORN, NE 68022-4285
(531) 484-3050
(531) 484-4140
Mailing address
5619 S 204TH AVE, ELKHORN, NE 68022-4285
(531) 484-3050
(531) 484-4140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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