Organization
WALNUT CREEK PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY WEBBER DDS (PRESIDENT, OWNER)
(402) 590-2018
Entity
Organization
Contact information
Practice address
10983 CUMBERLAND DR, PAPILLION, NE 68046-3894
(402) 590-2018
(402) 590-2019
Mailing address
10983 CUMBERLAND DR, PAPILLION, NE 68046-3894
(402) 590-2018
(402) 590-2019
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6743
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025725600
—
NE
Enumeration date
04/11/2009
Last updated
02/25/2020
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