Individual
ERIC DESHAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5500 S 56TH ST, LINCOLN, NE 68516-1878
(402) 423-5055
Mailing address
5500 S 56TH ST, LINCOLN, NE 68516-1878
(402) 423-5055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6453
NE
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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