| Maple Ridge Dental Care | |
|
3585 N 168th Ct Omaha NE 68116-2201 | |
| (402) 415-0283 | |
| Not Available |
| Full Name | Maple Ridge Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3585 N 168th Ct, Omaha, Nebraska |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Ridge Dental Care 3585 N 168th Ct Omaha NE 68116-2201 Ph: () - | Maple Ridge Dental Care 3585 N 168th Ct Omaha NE 68116-2201 Ph: (402) 415-0283 |
| NPI Number | 1043619422 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043619422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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