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Organization

GRAND ISLAND DENTAL CENTER, LLC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAY P MCGOWAN DDS (EQUAL PARTNER)
(308) 382-7813
Entity
Organization

Contact information

Practice address
2414 W FAIDLEY AVE, SUITE 101, GRAND ISLAND, NE 68803-4368
(308) 382-7813
(308) 385-0370
Mailing address
2414 W FAIDLEY AVE, SUITE 101, GRAND ISLAND, NE 68803-4368
(308) 382-7813
(308) 385-0370

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NE

Other

Enumeration date
08/01/2008
Last updated
08/01/2008
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