Individual
NAM HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4000 E CAMPUS LOOP S, LINCOLN, NE 68583-1530
(402) 472-1302
Mailing address
4800 HOLDREGE ST APT 410, LINCOLN, NE 68504-3176
(571) 226-0738
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418494
VA
Other
Enumeration date
07/17/2023
Last updated
09/11/2025
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