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1512 S 60th St Omaha NE 68106-2163 | |
| (402) 553-7888 | |
| (402) 553-7899 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1512 S 60th St, Omaha, Nebraska |
| Authorized Official Name and Position | Kicha Caldeira-irish (OWNER/DENTIST) |
| Authorized Official Contact | 4025537888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1512 S 60th St Omaha NE 68106-2163 Ph: (402) 553-7888 | 1512 S 60th St Omaha NE 68106-2163 Ph: (402) 553-7888 |
| NPI Number | 1285064089 |
|---|---|
| Provider Enumeration Date | 11/15/2013 |
| Last Update Date | 11/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285064089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6678 (Nebraska) | Primary |
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