Individual
SIERAH RENAE SAMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 VALLEY VIEW DR STE 900, SCOTTSBLUFF, NE 69361-1420
(308) 633-1111
Mailing address
100143 COUNTY ROAD 14, MITCHELL, NE 69357-1723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8108
NE
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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