| Quadrant Dental Wahoo Llc | |
|
427 N Broadway St Wahoo NE 68066-1963 | |
| (402) 443-4989 | |
| Not Available |
| Full Name | Quadrant Dental Wahoo Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 427 N Broadway St, Wahoo, Nebraska |
| Authorized Official Name and Position | Cory Foland (PRESIDENT) |
| Authorized Official Contact | 4024434989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quadrant Dental Wahoo Llc 427 N Broadway St Wahoo NE 68066-1963 Ph: (402) 443-4989 | Quadrant Dental Wahoo Llc 427 N Broadway St Wahoo NE 68066-1963 Ph: (402) 443-4989 |
| NPI Number | 1629740030 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629740030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Wahoo Dental Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 357 E 4th St, Wahoo, NE 68066 Phone: 402-443-5959 |