| Millard Fd Llc | |
|
14133 Q St Omaha NE 68137-2600 | |
| (712) 310-8530 | |
| Not Available |
| Full Name | Millard Fd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14133 Q St, Omaha, Nebraska |
| Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2147020708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millard Fd Llc 15660 Dallas Pkwy Ste 925 Dallas TX 75248-3323 Ph: () - | Millard Fd Llc 14133 Q St Omaha NE 68137-2600 Ph: (712) 310-8530 |
| NPI Number | 1295556702 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 10/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295556702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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