Individual
TRASON LYLE SHOQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15304 HOWE ST, OMAHA, NE 68144-5416
(910) 973-5910
Mailing address
15304 HOWE ST, OMAHA, NE 68144-5416
(910) 973-5910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21647
MT
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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