Organization
BRENTWOOD DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K OBENG DDS (OWNER PRESIDENT)
(402) 597-2777
Entity
Organization
Contact information
Practice address
2605 SO 84TH ST, OMAHA, NE 68124
(402) 597-2777
(402) 597-3643
Mailing address
2605 SO 84TH ST, OMAHA, NE 68124
(402) 597-2777
(402) 597-3643
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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