Individual
BAYLEE JUNE MINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(308) 530-5881
Mailing address
311 N 43RD ST, OMAHA, NE 68131-2207
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7459
NE
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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