Individual
DR. JAMES J REZAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
810 W C ST, OGALLALA, NE 69153-1331
(308) 284-4722
Mailing address
810 WEST C STREET, OGALLALA, NE 69153
(308) 284-4722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6112
NE
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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