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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