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2672 33rd Ave Columbus NE 68601-2314 | |
| (402) 564-7575 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2672 33rd Ave, Columbus, Nebraska |
| Authorized Official Name and Position | Charles S. Skoglund (OWNER) |
| Authorized Official Contact | 4026443177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2672 33rd Ave Columbus NE 68601-2314 Ph: (402) 564-7575 | 2672 33rd Ave Columbus NE 68601-2314 Ph: (402) 564-7575 |
| NPI Number | 1083880751 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 05/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083880751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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