Organization
MAPLE PARK DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIBBY ANN LASHLEY (CLINIC COORDINATOR)
(308) 534-1289
Entity
Organization
Contact information
Practice address
805 S MAPLE ST, NORTH PLATTE, NE 69101-5282
(308) 534-1289
Mailing address
PO BOX 1518, 805 S. MAPLE ST., NORTH PLATTE, NE 69103-1518
(308) 534-1289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4669
NE
1223G0001X
General Practice Dentistry
6094
NE
1223G0001X
General Practice Dentistry
Primary
6207
NE
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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