Organization
KINGSLEY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIE LIPPOLD (OFFICE MANAGER)
(402) 571-0475
Entity
Organization
Contact information
Practice address
3015 N 90TH ST STE 2, OMAHA, NE 68134-4713
(402) 571-0475
(402) 571-2932
Mailing address
3015 N 90TH ST STE 2, OMAHA, NE 68134-4713
(402) 571-0475
(402) 571-2932
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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