Individual
GINA DAWN WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
110 NORTH 37TH STREET, SUITE 401, NORFOLK, NE 68701
(402) 371-0852
(402) 371-0928
Mailing address
110 NORTH 37TH STREET, SUITE 401, NORFOLK, NE 68701
(402) 371-0852
(402) 371-0928
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6188
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025152900
—
NE
Enumeration date
08/18/2006
Last updated
08/07/2023
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