Individual
MICHAEL PAUL TEWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4200 LUCILE DR STE 400, LINCOLN, NE 68506-6032
(402) 421-6900
Mailing address
4200 LUCILE DR STE 400, LINCOLN, NE 68506-6032
(402) 421-6900
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7980
NE
Other
Enumeration date
04/19/2019
Last updated
04/03/2024
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