Organization
MISSOURI VALLEY DENTAL GROUP, LLC
Active
Parent organization
MISSOURI VALLEY DENTAL GROUP,LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSOURI VALLEY DENTAL GROUP,LLC
Authorized official
BETTY KERGER (OFFICE MANAGER)
(712) 325-1544
Entity
Organization
Contact information
Practice address
216 ENTERPRISE DR, SUITE #3, GRETNA, NE 68028-7999
(402) 332-2748
Mailing address
216 ENTERPRISE DR, SUITE #3, GRETNA, NE 68028-7999
(402) 332-2748
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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