Individual
DR. WILLIAM W GIST IV
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3634 N 90TH ST, OMAHA, NE 68134-4127
(402) 572-7272
Mailing address
3634 N 90TH ST, OMAHA, NE 68134-4127
(402) 572-7272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4871
NE
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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