Dregalla Family Dentistry | |
402 Main St Pender NE 68047 | |
(402) 385-3188 | |
(402) 385-0165 |
Full Name | Dregalla Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 402 Main St, Pender, Nebraska |
Authorized Official Name and Position | Christine Dregalla (OWNER) |
Authorized Official Contact | 4023853188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dregalla Family Dentistry 402 Main St Po Box 146 Pender NE 68047 Ph: (402) 385-3188 | Dregalla Family Dentistry 402 Main St Pender NE 68047 Ph: (402) 385-3188 |
NPI Number | 1609318849 |
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Provider Enumeration Date | 11/04/2016 |
Last Update Date | 11/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609318849 | NPI | - | NPPES |
100-257-691-00 | Medicaid | NE | |
100-257-690-00 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |