Organization
EAST LINCOLN DENTAL LLC
Active
Other names
East Lincoln Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE GALL (OFFICE MANAGER)
(402) 904-6005
Entity
Organization
Contact information
Practice address
6930 L ST, SUITE B, LINCOLN, NE 68510-2411
(402) 489-6547
(402) 420-7045
Mailing address
6040 VILLAGE DR, SUITE B, LINCOLN, NE 68516-6640
(402) 420-2222
(402) 420-7045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5965
NE
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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