| Northeast Family Dental Llc | |
|
1719 N Cotner Blvd Lincoln NE 68505-1356 | |
| (402) 420-7045 | |
| Not Available |
| Full Name | Northeast Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1719 N Cotner Blvd, Lincoln, Nebraska |
| Authorized Official Name and Position | Bonnie Gall (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 4029046005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Family Dental Llc 1719 N Cotner Blvd Lincoln NE 68505-1356 Ph: () - | Northeast Family Dental Llc 1719 N Cotner Blvd Lincoln NE 68505-1356 Ph: (402) 420-7045 |
| NPI Number | 1578938122 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 12/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578938122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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