Organization
DARYL E. MALENA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARYL E. MALENA DDS (OWNER)
(402) 330-4100
Entity
Organization
Contact information
Practice address
10838 OLD MILL RD STE 8, OMAHA, NE 68154-2649
(402) 330-4100
Mailing address
10838 OLD MILL RD STE 8, OMAHA, NE 68154-2649
(402) 330-4100
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3901
NE
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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