Individual
DR. BRIAN JAMES FORAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
9006 OHIO ST, STE 2, OMAHA, NE 68134-6139
(402) 393-3555
Mailing address
9006 OHIO ST, STE 2, OMAHA, NE 68134-6139
(402) 393-3555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6831
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025204800
—
NE
Enumeration date
06/15/2009
Last updated
07/21/2016
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