Individual
DR. COATLICUE P CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1221 GOLDEN GATE DR, PAPILLION, NE 68046-2837
(402) 331-2070
(402) 331-2186
Mailing address
1221 GOLDEN GATE DR, PAPILLION, NE 68046-2837
(402) 331-2070
(402) 331-2186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6698
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100-25-331-800
—
NE
Enumeration date
08/18/2008
Last updated
08/18/2008
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