Organization
NBD NORTHWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISSY RYAN (HUMAN RESOURCES)
(605) 213-0071
Entity
Organization
Contact information
Practice address
5200 N 91ST AVE STE B, OMAHA, NE 68134-2749
(402) 493-8320
Mailing address
5200 N 91ST AVE STE B, OMAHA, NE 68134-2749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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