Organization
CRETE FAMILY DENTAL, LLC
Active
Other names
Crete Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE GALL (OFFICE ADMINISTRATOR)
(402) 904-6005
Entity
Organization
Contact information
Practice address
1005 E. HIGHWAY 33, SUITE 7, CRETE, NE 68333-2546
(402) 418-7214
(402) 420-7045
Mailing address
6040 VILLAGE DR, STE 1, LINCOLN, NE 68516-6640
(402) 420-2222
(402) 420-7045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7178
NE
Other
Enumeration date
01/11/2016
Last updated
02/25/2016
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