Organization
PEDIATRIC DENTAL SPECIALISTS OF GREATER NEBRASKA - KEARNEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE JOHNSON (PRACTICE ADMINISTRATOR)
(402) 462-6557
Entity
Organization
Contact information
Practice address
121 E 31ST ST, KEARNEY, NE 68847-3001
(308) 234-5437
Mailing address
121 E 31ST ST, KEARNEY, NE 68847-3001
(308) 234-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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