Individual
DR. WILLIAM RANDALL NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS/ FAGD
Contact information
Practice address
4101 WOOLWORTH AVE, NWIHCS- DEPT. OF VETERAN AFFAIRS, OMAHA, NE 68105-1850
(402) 346-8800
(402) 995-5993
Mailing address
4101 WOOLWORTH AVE, NWIHCS- DEPT. OF VETERAN AFFAIRS, OMAHA, NE 68105-1850
(402) 346-8800
(402) 995-5993
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5479
NE
Other
Enumeration date
11/09/2005
Last updated
07/13/2007
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