Organization
SCOTTSBLUFF DENTIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORTNY SINKS DO (OFFICE MANAGER)
(308) 632-7414
Entity
Organization
Contact information
Practice address
204 W 36TH ST, SCOTTSBLUFF, NE 69361-4654
(308) 632-7414
(308) 632-3879
Mailing address
204 W 36TH ST, SCOTTSBLUFF, NE 69361-4654
(308) 632-7414
(308) 632-3879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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