Individual
GRAHAM RYNE BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
984125 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-4125
(402) 559-5999
Mailing address
984125 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-4125
(402) 559-5999
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8017
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2023
Last updated
06/18/2024
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