Organization
WILSON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY RAINBOLT DDS (DENTIST/OWNER)
(402) 492-9476
Entity
Organization
Contact information
Practice address
11717 BURT ST STE 100, OMAHA, NE 68154-1500
(402) 492-9476
Mailing address
11717 BURT ST STE 100, OMAHA, NE 68154-1500
(402) 492-9476
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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