Individual
MARY KATHLEEN TUSSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
18009 OAK ST STE A, OMAHA, NE 68130-6096
(402) 207-9987
Mailing address
10261 Y ST, OMAHA, NE 68127-4530
(402) 320-0663
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7877
NE
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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