Organization
WEEDER PEDIATRIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY C. WEEDER DDS (OWNER/PEDIATRIC DENTIST)
(402) 932-1177
Entity
Organization
Contact information
Practice address
9825 GILES RD STE A&B, LA VISTA, NE 68128-2927
(402) 932-1177
Mailing address
9825 GILES RD STE A&B, LA VISTA, NE 68128-2927
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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