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3932 S 24th St Omaha NE 68107-1849 | |
(402) 733-3932 | |
(402) 733-1933 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 3932 S 24th St, Omaha, Nebraska |
Authorized Official Name and Position | Holly V Stoakes (ACCOUNT MANAGER) |
Authorized Official Contact | 4027333932 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3932 S 24th St Omaha NE 68107-1849 Ph: (402) 733-3932 | 3932 S 24th St Omaha NE 68107-1849 Ph: (402) 733-3932 |
NPI Number | 1073783452 |
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Provider Enumeration Date | 03/03/2008 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
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1073783452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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