Organization
RALLIS ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J RALLIS D.D.S. (PRESIDENT)
(402) 730-6838
Entity
Organization
Contact information
Practice address
3256 SALT CREEK CIR., LINCOLN, NE 68504
(402) 742-3000
Mailing address
3256 SALT CREEK CIR., LINCOLN, NE 68504
(402) 742-3000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6647
NE
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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