Full Name | |
---|---|
Speciality | Dentist |
Location | 612 S 72nd St, Omaha, Nebraska |
Authorized Official Name and Position | Sharlene H Yuan (OWNER DENTIST) |
Authorized Official Contact | 4023981788 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
612 S 72nd St Omaha NE 68114-4612 Ph: (402) 398-1788 | 612 S 72nd St Omaha NE 68114-4612 Ph: (402) 398-1788 |
NPI Number | 1013907732 |
---|---|
Provider Enumeration Date | 10/25/2005 |
Last Update Date | 09/15/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013907732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6035 (Nebraska) | Primary |
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