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Organization

COLUMBUS PEDIATRIC DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAITLYNN L HARVEY (DDS)
(308) 520-9765
Entity
Organization

Contact information

Practice address
3005 19TH ST STE 700, COLUMBUS, NE 68601-4248
(402) 585-0001
(402) 585-0504
Mailing address
8374 HILLSIDE PLZ, COLUMBUS, NE 68601-7327
(308) 520-9765

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
05/15/2025
Last updated
05/15/2025
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