Individual
MRS. ELIZABETH A. SAMBOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8909 GRANT ST, OMAHA, NE 68134-6161
(402) 572-1120
(402) 572-9059
Mailing address
8909 GRANT ST, OMAHA, NE 68134-6161
(402) 572-1120
(402) 572-9059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5353
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5647
BLUECROSS BLUESHIELD
NE
01
—
709166
UNITED CONCORDIA PPO
NE
Enumeration date
11/21/2005
Last updated
01/19/2016
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