| Facial Dimensions, P.c. | |
|
710 W Koenig St Grand Island NE 68801-6556 | |
| (308) 384-1172 | |
| Not Available |
| Full Name | Facial Dimensions, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 710 W Koenig St, Grand Island, Nebraska |
| Authorized Official Name and Position | G A. Peterson (PRESIDENT) |
| Authorized Official Contact | 3083841172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Facial Dimensions, P.c. 710 W Koenig St Grand Island NE 68801-6556 Ph: (308) 384-1172 | Facial Dimensions, P.c. 710 W Koenig St Grand Island NE 68801-6556 Ph: (308) 384-1172 |
| NPI Number | 1760626857 |
|---|---|
| Provider Enumeration Date | 04/21/2009 |
| Last Update Date | 04/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760626857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4372 (Nebraska) | Primary |
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