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Individual

DR. ENNSEN DAVID JOSHUA MURAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8041 S 83RD AVE, LA VISTA, NE 68128-2490
(402) 884-1174
Mailing address
805 WESTERN HILLS DR, PAPILLION, NE 68046-7040
(808) 636-5008

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08
NE
1223G0001X
General Practice Dentistry
DEN.00203627
CO

Other

Enumeration date
06/18/2018
Last updated
08/18/2020
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