Organization
144TH OMAHA EMERGENCY DENTAL
Active
Other names
Emergency Dental Care, USA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL OBENG DDS (OWNER/PRESIDENT)
(402) 597-1186
Entity
Organization
Contact information
Practice address
4267 S 144TH ST, OMAHA, NE 68137-1053
(402) 597-1186
Mailing address
2605 S 84TH ST, OMAHA, NE 68124-3116
(402) 597-1186
(402) 393-2886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5964
NE
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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