Organization
THE ORTHODONTISTS AT HILLSBOROUGH
Active
Organization
THE ORTHODONTISTS AT HILLSBOROUGH
Active
Other names
Greg Samuelson DDS MSD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY MARIE WELCH FIDONE (OFFICE MANAGER)
(402) 493-2268
Entity
Organization
Contact information
Practice address
13808 W MAPLE RD STE 104, OMAHA, NE 68164-6231
(402) 493-2268
(402) 905-0372
Mailing address
13808 W MAPLE RD STE 104, OMAHA, NE 68164-6231
(402) 493-2268
(402) 905-0372
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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