Organization
APOLLO DENTAL CONSULTING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY VACEK D.D.S. (CEO)
(402) 786-2007
Entity
Organization
Contact information
Practice address
13220 CALLUM DR STE 5, WAVERLY, NE 68462-2560
(402) 786-2007
(402) 786-2008
Mailing address
13220 CALLUM DR STE 5, WAVERLY, NE 68462-2560
(402) 786-2007
(402) 786-2008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6799
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025738700
—
NE
Enumeration date
04/30/2009
Last updated
04/30/2009
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