Organization
ORAL HEALTH IMPACT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE DENNY-MICKEY R.D.H., P.H.R.D.H (PRESIDENT/ MANAGING MEMBER)
(402) 984-7276
Entity
Organization
Contact information
Practice address
408 MONTROSE AVE, BERTRAND, NE 68927-3801
(402) 984-7276
Mailing address
408 MONTROSE AVE, BERTRAND, NE 68927-3801
(402) 984-7276
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1083
NE
124Q00000X
Dental Hygienist
1272
NE
Other
Enumeration date
07/23/2012
Last updated
08/04/2012
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