Organization
TODAY'S DENTAL 74TH PLAZA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT RISING (OWNER DENTIST)
(701) 799-6453
Entity
Organization
Contact information
Practice address
900 S 74TH PLZ STE 300, OMAHA, NE 68114-4667
(402) 884-1002
Mailing address
900 S 74TH PLZ STE 300, OMAHA, NE 68114-4667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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