Organization
MISSOURI VALLEY DENTAL GROUP, LLC
Active
Parent organization
MISSOURI VALLEY DENTAL GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSOURI VALLEY DENTAL GROUP, LLC
Authorized official
JEFFREY GARVEY DDS (OWNER)
(712) 325-1544
Entity
Organization
Contact information
Practice address
4620 S 25TH ST, OMAHA, NE 68107-1764
(402) 731-2100
Mailing address
4620 S 25TH ST, OMAHA, NE 68107-1764
(402) 731-2100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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