Organization
40TH AND DODGE FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. I FEN 'JENNIFER' HOUNG DDS (SECRETARY)
(402) 763-8998
Entity
Organization
Contact information
Practice address
111 N 40TH ST, OMAHA, NE 68131-2356
(402) 763-8998
(402) 614-4812
Mailing address
111 N 40TH ST, OMAHA, NE 68131-2356
(402) 763-8998
(402) 614-4812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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