Organization
BELLEVUE ORAL AND MAXILLOFACIAL SURGERY LLC
Active
Other names
Premier Oral and Maxillofacil Surg
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFOLABI OLUFOLAHAN OGUNLEYE DMD (OWNER)
(402) 708-6222
Entity
Organization
Contact information
Practice address
546 S WASHINGTON ST, PAPILLION, NE 68046-2632
(402) 916-5800
(402) 916-5900
Mailing address
546 S WASHINGTON ST, PAPILLION, NE 68046-2632
(402) 916-5800
(402) 916-5900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6642
NE
Other
Enumeration date
12/22/2009
Last updated
02/15/2011
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