Organization
SEDILLO MOBILE DDS NE LLC
Active
Other names
Dignity Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ANN OLIVARES (OFFICE MANAGER)
(712) 326-4860
Entity
Organization
Contact information
Practice address
5884 HIGH PASTURE DR, FORT CALHOUN, NE 68023-8201
(402) 237-2163
Mailing address
5884 HIGH PASTURE DR, FORT CALHOUN, NE 68023-8201
(402) 237-2163
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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