Organization
PEARL DENTISTRY OMAHA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER COOPER (DENTIST)
(202) 812-9626
Entity
Organization
Contact information
Practice address
7302 GILES RD STE 1, LA VISTA, NE 68128-5902
(402) 218-4220
Mailing address
7302 GILES RD STE 1, LA VISTA, NE 68128-5902
(402) 218-4220
(402) 218-4290
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
11/17/2022
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