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Individual

DR. DAVID THOMAS MOHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2802 WEBSTER ST, OMAHA, NE 68178-0003
(402) 280-3045
Mailing address
1729 CRAWFORD RD, OMAHA, NE 68144-1729
(402) 334-2805

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6102
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47037658340
NE
Enumeration date
09/16/2006
Last updated
07/09/2007
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