Organization
CHADWELL FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CHADWELL (DOCTOR OWNER)
(402) 884-1828
Entity
Organization
Contact information
Practice address
16909 LAKESIDE HILLS PLZ, SUITE 111, OMAHA, NE 68130-4654
(402) 884-1828
Mailing address
16909 LAKESIDE HILLS PLZ, SUITE 111, OMAHA, NE 68130-4654
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
6417
NE
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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