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Organization

KENNETH A SPANEL DDS PC

Active
Parent organization
KENNETH A SPANEL DDS PC
Other names
Regency Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
KENNETH A SPANEL DDS PC
Authorized official
DR. KENNETH ALLEN SPANEL DDS (OWNER/DENTIST)
(402) 399-0900
Entity
Organization

Contact information

Practice address
260 REGENCY PARKWAY DR, SUITE 104, OMAHA, NE 68114-3787
(402) 399-0900
(402) 399-1629
Mailing address
260 REGENCY PARKWAY DR, SUITE 104, OMAHA, NE 68114-3787
(402) 399-0900
(402) 399-1629

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4969
NE

Other

Enumeration date
02/17/2012
Last updated
02/17/2012
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