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Organization

FALLBROOK FAMILY DENTISTRY

Active
Parent organization
MILFORD DENTAL CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MILFORD DENTAL CLINIC
Authorized official
DR. ALYSSA CATTLE DDS (DENTIST)
(402) 467-0007
Entity
Organization

Contact information

Practice address
575 FALLBROOK BLVD, SUITE #107, LINCOLN, NE 68521-9039
(402) 467-0007
Mailing address
575 FALLBROOK BLVD, SUITE #107, LINCOLN, NE 68521-9039
(402) 467-0007

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7324
NE

Other

Enumeration date
07/21/2016
Last updated
07/21/2016
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