Individual
JOHNATHON O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3225 OAK VIEW DR, OMAHA, NE 68144-5627
(402) 972-4400
Mailing address
7059 DODGE ST STE 102, OMAHA, NE 68132-2703
(402) 686-6186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
09395
IA
1223G0001X
General Practice Dentistry
101359-875
WI
1223G0001X
General Practice Dentistry
Primary
7373
NE
Other
Enumeration date
06/28/2017
Last updated
06/07/2024
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