Individual
JAMES VINCENT PIETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
625 N 144TH AVE, SUITE 100, OMAHA, NE 68154
(402) 397-4505
Mailing address
3566 S 121ST ST, OMAHA, NE 68144
(402) 933-4698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6625
NE
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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