Individual
DR. ELIZABETH GRACE NEISENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 N 40TH ST, OMAHA, NE 68131-2356
(402) 884-4400
Mailing address
1941 N 174TH ST, OMAHA, NE 68118-2898
(415) 717-2840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7936
NE
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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