Individual
MS. MIKAYLA MARIE PELNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHRDH
Contact information
Practice address
16404 S. 99TH ST, PAPILLION, NE 68046
(402) 515-3682
Mailing address
16404 S. 99TH ST, PAPILLION, NE 68046
(402) 515-3682
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2050
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026350100
—
NE
Enumeration date
08/21/2013
Last updated
04/11/2017
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