Individual
SUSAN WORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
6040 VILLAGE DR, LINCOLN, NE 68516-6640
(402) 817-2783
Mailing address
4811 NW 1ST ST, STE 4, LINCOLN, NE 68521-4549
(402) 435-7700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7056
NE
Other
Enumeration date
11/21/2012
Last updated
11/07/2016
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