Individual
MR. BRETT JAMES CAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12110 PORT GRACE BLVD STE 202, LA VISTA, NE 68128-3190
(402) 800-3557
Mailing address
12110 PORT GRACE BLVD STE 202, LA VISTA, NE 68128-3190
(402) 800-3557
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7163
NE
Other
Enumeration date
03/20/2014
Last updated
07/16/2020
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