Organization
R. W. ROUBAL, D.D.S., P.C.
Active
Other names
Advanced Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODY M SCHMID (OFFICE MANAGER)
(402) 493-4175
Entity
Organization
Contact information
Practice address
11919 GRANT ST, SUITE 140, OMAHA, NE 68164-3475
(402) 493-4175
(402) 493-9273
Mailing address
11919 GRANT ST, SUITE 140, OMAHA, NE 68164-3475
(402) 493-4175
(402) 493-9273
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4339
NE
Other
Enumeration date
09/02/2009
Last updated
09/16/2010
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