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Organization

REM DDS, LLC

Active
Parent organization
REM DDS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
REM DDS, LLC
Authorized official
RIKKI LIEBERTH (OFFICE MANAGER)
(402) 932-9413
Entity
Organization

Contact information

Practice address
7370 S CREEK RD STE 104, SANDY, UT 84093-6107
(801) 352-9911
Mailing address
6606 S 168TH ST STE 100, OMAHA, NE 68135-5420
(402) 932-9413

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
UT

Other

Enumeration date
07/11/2017
Last updated
11/09/2017
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