Individual
DR. PHILIP ANDREW EHLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11812 STANDING STONE DR, GRETNA, NE 68028-7979
(402) 905-2880
Mailing address
17428 CINNAMON CIR, OMAHA, NE 68135-3203
(402) 981-2318
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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