Organization
PREMIER SMILE DENTAL ASSOCIATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE EBKE DDS (ASSOCIATE DENTIST)
(402) 300-0506
Entity
Organization
Contact information
Practice address
17110 LAKESIDE HILLS PLZ, OMAHA, NE 68130-5600
(402) 300-0506
Mailing address
56470 HIGHWAY 4, DAYKIN, NE 68338-3033
(402) 300-0506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7222
NE
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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