Individual
NIRANZENA PANNEER SELVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.S.
Contact information
Practice address
2109 CUMING STREET, OMAHA, NE 68102
(804) 585-5189
Mailing address
5325 S111TH PLAZA APT 201, OMAHA, NE 68137
(804) 585-5189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
36716
TX
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
127
NE
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
7889
NE
Other
Enumeration date
05/19/2020
Last updated
05/15/2026
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