Organization
TODAY'S DENTAL ELKHORN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT JAMISON RISING DDS (OWNER)
(402) 333-1120
Entity
Organization
Contact information
Practice address
20211 MANDERSON STREET, ELKHORN, NE 68138
(402) 505-1910
Mailing address
20211 MANDERSON STREET, ELKHORN, NE 68138
(402) 505-1910
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1650370
ORAL SURGERY DENTIST RX ONLY
NE
Enumeration date
11/30/2015
Last updated
11/30/2015
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