Organization
PEDODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN DANA DDS (PRESIDENT)
(402) 330-5913
Entity
Organization
Contact information
Practice address
2514 S 119TH ST STE2, OMAHA, NE 68144
(402) 330-5913
(402) 333-3190
Mailing address
2514 S 119TH ST STE2, OMAHA, NE 68144
(402) 330-5913
(402) 333-3190
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
3441
NE
1223P0221X
Pediatric Dentistry
5175
NE
1223P0221X
Pediatric Dentistry
Primary
6047
NE
1223P0221X
Pediatric Dentistry
6514
NE
Other
Enumeration date
06/02/2005
Last updated
07/31/2008
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