| Today's Dental Elkhorn Llc | |
|
20211 Manderson Street Elkhorn NE 68138 | |
| (402) 505-1910 | |
| Not Available |
| Full Name | Today's Dental Elkhorn Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20211 Manderson Street, Elkhorn, Nebraska |
| Authorized Official Name and Position | Brent Jamison Rising (OWNER) |
| Authorized Official Contact | 4023331120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Today's Dental Elkhorn Llc 20211 Manderson Street Elkhorn NE 68138 Ph: (402) 505-1910 | Today's Dental Elkhorn Llc 20211 Manderson Street Elkhorn NE 68138 Ph: (402) 505-1910 |
| NPI Number | 1750755831 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 11/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750755831 | NPI | - | NPPES |
| 1650370 | Other | NE | ORAL SURGERY DENTIST RX ONLY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Nebraska) | Primary |
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