Individual
ELLIOTT BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
MUNROE MEYER INSTITUTE 985450, NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-5450
(402) 559-6100
Mailing address
138 ARBOR CT, OMAHA, NE 68108-1725
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6927
NE
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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