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Organization

DUDZINSKI DENTAL PC

Active
Parent organization
STOP DECAY PC
Other names
New Image Dentistry at Village Pointe
Organization subpart
Yes

Provider details

NPI number
Legal business name
STOP DECAY PC
Authorized official
DARLENE KING (PRACTICE MANAGER)
(402) 341-5306
Entity
Organization

Contact information

Practice address
17404 BURKE ST, OMAHA, NE 68118-2239
(402) 493-2112
(402) 493-8399
Mailing address
2002 VINTON ST, OMAHA, NE 68108-1921
(402) 341-5306
(402) 346-1905

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5481
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598992026
IA
05
47064716913
NE
Enumeration date
08/25/2014
Last updated
02/10/2020
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