Individual
MRS. MICHELLE LYNN GAETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11536 S. 31ST ST., BELLEVUE, NE 68123
(402) 291-4468
(402) 933-2014
Mailing address
3414 N. 161ST. AVE, OMAHA, NE 68116
(402) 291-4468
(402) 933-2014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6129
NE
1223G0001X
General Practice Dentistry
6129
NE
Other
Enumeration date
03/20/2007
Last updated
12/07/2015
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