Organization
MPDA OGALLALA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN LASHLEY (OWNER)
(308) 534-1289
Entity
Organization
Contact information
Practice address
115 E 2ND ST, OGALLALA, NE 69153-2526
(308) 284-2961
Mailing address
115 E 2ND ST, OGALLALA, NE 69153-2526
(308) 284-2961
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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