Individual
DR. CLAY VAN LEEUWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
985180 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5180
(402) 559-6445
Mailing address
985180 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5180
(402) 559-6445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7695985-9921
UT
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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