Organization
AMBER IDE DDS, LLC
Active
Other names
Ide Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER IDE DDS (OWNER)
(308) 784-3377
Entity
Organization
Contact information
Practice address
1002 MERIDIAN AVE, COZAD, NE 69130-1757
(308) 784-3377
(308) 784-3395
Mailing address
PO BOX 147, COZAD, NE 69130-0147
(308) 784-3377
(308) 784-3395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/23/2021
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