Organization
SOUTH OMAHA DENTAL GROUP
Active
Other names
Spring Valley Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK NORMAN VARON D.D.S. (OWNER)
(402) 733-4441
Entity
Organization
Contact information
Practice address
5360 S 72ND ST, RALSTON, NE 68127-2876
(402) 733-4441
(402) 733-5863
Mailing address
5360 S 72ND ST, RALSTON, NE 68127-2876
(402) 733-4441
(402) 733-5863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5826
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470080530100
—
NE
01
—
5530
NE BCBS
NE
Enumeration date
07/29/2006
Last updated
06/18/2008
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