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Individual

ANNE AIELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
119 N 51ST ST, OMAHA, NE 68132-2867
(402) 554-1600
Mailing address
2313 N 55TH ST, OMAHA, NE 68104-4239
(402) 553-4106

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4923
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47065903600
NE
Enumeration date
04/26/2007
Last updated
07/08/2007
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