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6520 Holdrege St Lincoln NE 68505-1655 | |
(402) 464-1861 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 6520 Holdrege St, Lincoln, Nebraska |
Authorized Official Name and Position | Greg Bennett (DOCTOR) |
Authorized Official Contact | 4024641861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6520 Holdrege St Lincoln NE 68505-1655 Ph: (402) 464-1861 | 6520 Holdrege St Lincoln NE 68505-1655 Ph: (402) 464-1861 |
NPI Number | 1629436019 |
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Provider Enumeration Date | 02/01/2016 |
Last Update Date | 02/01/2016 |
Identifier | Type | State | Issuer |
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1629436019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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