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Organization

SUPERIOR DENTAL HEALTH - PAPILLION

Active
Other names
Walnut Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
MISS TAYLOR RICE (CREDENTIALING SPECIALIST)
(831) 706-6773
Entity
Organization

Contact information

Practice address
11336 S 96TH ST STE 121, PAPILLION, NE 68046-4211
(402) 964-2200
(402) 905-3666
Mailing address
11336 S 96TH ST STE 121, PAPILLION, NE 68046-4211

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/21/2023
Last updated
08/21/2023
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