Individual
MARY L CANARSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2838 S 48TH ST, LINCOLN, NE 68506-3391
(402) 488-8670
Mailing address
PO BOX 67127, LINCOLN, NE 68506-7127
(402) 488-8670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7375
NE
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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