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Individual

DR. BRENT JAMISON RISING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
14406 HARRISON ST, OMAHA, NE 68138-6521
(402) 333-1120
Mailing address
4417 WILLIAM ST, OMAHA, NE 68105-1758
(701) 799-6453

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6812
NE

Other

Enumeration date
06/12/2009
Last updated
11/13/2012
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