Individual
DR. MICHAEL D AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5140 S 56TH ST, LINCOLN, NE 68516-1832
(402) 423-1100
(402) 423-1368
Mailing address
5140 S 56TH ST, LINCOLN, NE 68516-1832
(402) 423-1100
(402) 423-1368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7017
NE
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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