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Organization

PIERCE DENTAL OFFICE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TODD S WRAGGE DDS (PRESIDENT)
(402) 329-6850
Entity
Organization

Contact information

Practice address
102 E MAIN ST, PIERCE, NE 68767-1344
(402) 329-6850
(402) 329-4912
Mailing address
102 E MAIN ST, PIERCE, NE 68767-1344
(402) 329-6850
(402) 329-4912

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6197
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6197
DENTAL LICENSE NUMBER
NE
Enumeration date
06/29/2007
Last updated
08/22/2020
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