| Candlewood Dental Associates | |
|
1720 N 120th St Omaha NE 68154-1379 | |
| (402) 496-1591 | |
| Not Available |
| Full Name | Candlewood Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1720 N 120th St, Omaha, Nebraska |
| Authorized Official Name and Position | Ashley Rainbolt (DENTIST/OWNER) |
| Authorized Official Contact | 4024961591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candlewood Dental Associates 1720 N 120th St Omaha NE 68154-1379 Ph: (402) 496-1591 | Candlewood Dental Associates 1720 N 120th St Omaha NE 68154-1379 Ph: (402) 496-1591 |
| NPI Number | 1427771070 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 09/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427771070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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