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Individual

DR. DANA LAVERNE BAILEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3024 25TH ST, COLUMBUS, NE 68601-2404
(402) 563-4565
(402) 563-4566
Mailing address
3024 25TH ST, COLUMBUS, NE 68601-2404
(402) 563-4565
(402) 563-4566

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4634
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47-064263600
NE
Enumeration date
04/08/2006
Last updated
07/08/2007
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