Organization
UNIVERSITY OF NEBRASKA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILLIAN WALLEN BDS (PROGRAM DIRECTOR)
(402) 559-7954
Entity
Organization
Contact information
Practice address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
(402) 559-7954
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
(402) 559-7954
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
94
NE
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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