Organization
HILLSBOROUGH FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY DANIEL SAMUELSON D.D.S. (PRESIDENT)
(402) 445-4647
Entity
Organization
Contact information
Practice address
13808 W MAPLE RD, SUITE 112, OMAHA, NE 68164-6231
(402) 445-4647
(402) 445-8370
Mailing address
13808 W MAPLE RD, SUITE 112, OMAHA, NE 68164-6231
(402) 445-4647
(402) 445-8370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6078
NE
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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