Individual
DR. KATIE E ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14707 CALIFORNIA ST STE 15, OMAHA, NE 68154-1900
(402) 498-0777
Mailing address
14707 CALIFORNIA ST STE 15, OMAHA, NE 68154-1900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7755
KS
1223G0001X
General Practice Dentistry
Primary
7755
NE
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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