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Individual

DR. PETER EDWIN HARBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MSD

Contact information

Practice address
18101 CHICAGO STREET, SUITE #107, OMAHA, NE 68022
(402) 590-5365
Mailing address
1742 N 175TH PLZ, OMAHA, NE 68118-6025
(402) 490-8425

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
7024
NE
1223P0221X
Pediatric Dentistry
Primary
7024
NE

Other

Enumeration date
06/14/2012
Last updated
06/10/2020
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