Spring Valley Dental Center | |
5360 S 72nd St Ralston NE 68127-2876 | |
(402) 733-4441 | |
(402) 733-5863 |
Full Name | Spring Valley Dental Center |
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Speciality | Dentist |
Location | 5360 S 72nd St, Ralston, Nebraska |
Authorized Official Name and Position | Frank Norman Varon (OWNER) |
Authorized Official Contact | 4027334441 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Spring Valley Dental Center 5360 S 72nd St Ralston NE 68127-2876 Ph: (402) 733-4441 | Spring Valley Dental Center 5360 S 72nd St Ralston NE 68127-2876 Ph: (402) 733-4441 |
NPI Number | 1881608156 |
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Provider Enumeration Date | 07/29/2006 |
Last Update Date | 06/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881608156 | NPI | - | NPPES |
5530 | Other | NE | NE BCBS |
470080530100 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5826 (Nebraska) | Primary |