| Anderson-martin-lacey-antholz Dentists, Pc | |
|
3445 'o' Street Lincoln NE 68510-1541 | |
| (402) 474-3445 | |
| (402) 474-6061 |
| Full Name | Anderson-martin-lacey-antholz Dentists, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3445 'o' Street, Lincoln, Nebraska |
| Authorized Official Name and Position | Max M Martin (OWNER/SECRETARY) |
| Authorized Official Contact | 4024743445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson-martin-lacey-antholz Dentists, Pc 3445 'o' Street Lincoln NE 68510-1541 Ph: (402) 474-3445 | Anderson-martin-lacey-antholz Dentists, Pc 3445 'o' Street Lincoln NE 68510-1541 Ph: (402) 474-3445 |
| NPI Number | 1093722118 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093722118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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