Organization
TODAY'S DENTAL FREMONT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT RISING (MANAGING MEMBER)
(701) 799-6453
Entity
Organization
Contact information
Practice address
1689 E 23RD ST, FREMONT, NE 68025-2435
(402) 727-9292
Mailing address
27330 W CENTER RD, WATERLOO, NE 68069-6814
(701) 799-6453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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