| |
10841 Q St Suite 109 Omaha NE 68137-3543 | |
(402) 339-4999 | |
(402) 339-4991 |
Full Name | |
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Speciality | Dentist |
Location | 10841 Q St, Omaha, Nebraska |
Authorized Official Name and Position | Betty Kerger (OFFICE MANAGER) |
Authorized Official Contact | 7123251544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10841 Q St Suite 109 Omaha NE 68137-3543 Ph: (402) 339-4999 | 10841 Q St Suite 109 Omaha NE 68137-3543 Ph: (402) 339-4999 |
NPI Number | 1447666151 |
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Provider Enumeration Date | 07/02/2014 |
Last Update Date | 07/02/2014 |
Identifier | Type | State | Issuer |
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1447666151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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