Organization
SEWARD DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALAN MINCHOW DDS (PRESIDENT)
(402) 643-2931
Entity
Organization
Contact information
Practice address
306 S 4TH ST, SUITE 100, SEWARD, NE 68434
(402) 643-2931
Mailing address
306 S 4TH ST, SUITE 100, SEWARD, NE 68434
(402) 643-2931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5918
NE
1223G0001X
General Practice Dentistry
6476
NE
Other
Enumeration date
10/02/2008
Last updated
01/04/2022
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