Organization
LINCOLN TONGUE TIE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN VILLAFANE DDS (OWNER)
(402) 484-5760
Entity
Organization
Contact information
Practice address
5760 S 86TH ST STE 2, LINCOLN, NE 68526-6053
(402) 484-5760
Mailing address
5760 S 86TH ST STE 2, LINCOLN, NE 68526-6053
(402) 484-5760
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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