Individual
KELLY A GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2500 CALIFORNIA PLAZA, OMAHA, NE 68178
(402) 280-5018
(402) 280-5013
Mailing address
2500 CALIFORNIA PLAZA, OMAHA, NE 68178
(402) 280-5006
(402) 280-5094
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
661
NE
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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