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4210 Pioneer Woods Dr Suite D Lincoln NE 68506-7561 | |
(402) 484-6042 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 4210 Pioneer Woods Dr, Lincoln, 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 |
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4210 Pioneer Woods Dr Suite D Lincoln NE 68506-7561 Ph: (402) 484-6042 | 4210 Pioneer Woods Dr Suite D Lincoln NE 68506-7561 Ph: (402) 484-6042 |
NPI Number | 1982837373 |
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Provider Enumeration Date | 09/01/2009 |
Last Update Date | 09/01/2009 |
Identifier | Type | State | Issuer |
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1982837373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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