Organization
CLABAUGH ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALLEN CLABAUGH III DDS, MS (MANAGER)
(620) 931-7560
Entity
Organization
Contact information
Practice address
1530 S 70TH ST, SUITE #201, LINCOLN, NE 68506-1567
(402) 483-1009
Mailing address
8855 S 33RD ST, APT #9-106, LINCOLN, NE 68516-5095
(620) 931-7560
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7121
NE
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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