Individual
DR. ERICA ELIZABETH BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2109 CUMING ST, OMAHA, NE 68102
(402) 280-2840
Mailing address
2109 CUMING ST, OMAHA, NE 68102-4325
(402) 280-2840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7870
NE
1223G0001X
General Practice Dentistry
00202602
CO
Other
Enumeration date
07/23/2015
Last updated
09/13/2023
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