Individual
KELLY DAWN ANTHOLZ O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 N 33RD ST, LINCOLN, NE 68504-4652
(402) 742-0000
Mailing address
5800 N 33RD ST, LINCOLN, NE 68504-4652
(402) 742-0000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7219
NE
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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