Organization
DERMATOLOGY SURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA KAY DILTS (ADMINISTRATOR)
(402) 330-4555
Entity
Organization
Contact information
Practice address
909 N 96TH ST, SUITE 201, OMAHA, NE 68114-2497
(402) 330-4555
Mailing address
909 N 96TH ST, SUITE 201, OMAHA, NE 68114-2497
(402) 330-4555
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
06/24/2011
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