Individual
CONNIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 W LEIGHTON AVE, LINCOLN, NE 68524-6051
(402) 470-3553
Mailing address
4101 W LEIGHTON AVE, LINCOLN, NE 68524-6051
(402) 470-3553
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
528
NE
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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