Good Life Dental, P.c. | |
302 S Bailey Ave North Platte NE 69101-5407 | |
(308) 532-0427 | |
Not Available |
Full Name | Good Life Dental, P.c. |
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Speciality | Clinic/center - Dental |
Location | 302 S Bailey Ave, North Platte, Nebraska |
Authorized Official Name and Position | Kate Wolford Wawrzynkiewicz (PRESIDENT) |
Authorized Official Contact | 3085320427 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Good Life Dental, P.c. 302 S Bailey Ave North Platte NE 69101-5407 Ph: () - | Good Life Dental, P.c. 302 S Bailey Ave North Platte NE 69101-5407 Ph: (308) 532-0427 |
NPI Number | 1912376617 |
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Provider Enumeration Date | 09/23/2015 |
Last Update Date | 09/23/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912376617 | NPI | - | NPPES |
261QD0000X | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 7079 (Nebraska) | Primary |
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