| Surf's Up Pediatric Dentistry | |
|
10350 S. Terrance Papillion NE 68133 | |
| (435) 890-2295 | |
| Not Available |
| Full Name | Surf's Up Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10350 S. Terrance, Papillion, Nebraska |
| Authorized Official Name and Position | Bryce Cushing (OWNER/CEO) |
| Authorized Official Contact | 4358902295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surf's Up Pediatric Dentistry 10350 S. Terrance Papillion NE 68133 Ph: () - | Surf's Up Pediatric Dentistry 10350 S. Terrance Papillion NE 68133 Ph: (435) 890-2295 |
| NPI Number | 1104571249 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 02/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104571249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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