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Individual

MAURICE JAMES GANSER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1919 S 40TH ST, SUITE 218, LINCOLN, NE 68506-5243
(402) 489-1262
(402) 489-1646
Mailing address
1919 S 40TH ST, SUITE 218, LINCOLN, NE 68506-5243
(402) 489-1262
(402) 489-1646

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4025
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100250997-00
NE
Enumeration date
10/07/2005
Last updated
07/08/2007
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