Organization
CHILDREN'S DENTAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PHILIP MEYER DDS (DENTIST/OWNER)
(308) 384-0332
Entity
Organization
Contact information
Practice address
3721 W 13TH, SUITE A, GRAND ISLAND, NE 68803
(308) 384-0332
(402) 797-2064
Mailing address
2840 S 70TH ST, SUITE 7-352, LINCOLN, NE 68506-3662
(308) 384-0332
(402) 797-2064
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4908
NE
Other
Enumeration date
08/19/2006
Last updated
05/09/2011
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