Organization
FAMILY DENTAL @ WALNUT CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS LIPPOLD DDS (DENTIST)
(402) 964-2200
Entity
Organization
Contact information
Practice address
11336 S 96TH ST, #121, PAPILLION, NE 68046-4209
(402) 964-2200
Mailing address
11336 S 96TH ST, PAPILLION, NE 68046-4209
(402) 964-2200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5416
NE
Other
Enumeration date
10/28/2011
Last updated
06/20/2018
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