Individual
DR. GEORGE WARREN OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3509 HARRISON ST, BELLEVUE, NE 68147-1252
(402) 733-4770
Mailing address
3509 HARRISON ST, BELLEVUE, NE 68147-1252
(402) 733-4770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4552
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47059634300
—
NE
Enumeration date
08/22/2006
Last updated
07/08/2007
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