Aa Omaha Emergecny Dental Care Usa Inc

NPI 1104158948 - Dentist - 1223G0001X

NPI Details
NPI 1104158948
Enumeration Date 02/04/2010
Last Updated 03/03/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MICHAEL K MICHAEL
Position OWNER/PRESIDENT
Phone (402) 926-4411
Fax (402) 393-2902
Practice Location
2605 S 84TH ST
OMAHA NE, 68124-3116, US
Phone (402) 926-4411
Fax (402) 393-2902
Business Location
1338 N 143RD AVENUE CIR
OMAHA NE, 68154-5108, US
Phone (402) 597-1186
Fax (402) 332-4629
Toxanomy
Taxonomy Code 1223G0001X
License State Nebraska
License Number 5964
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According to our database, Aa Omaha Emergecny Dental Care Usa Inc NPI is 1104158948, taxonomy code is 1223G0001X and license number is 5964, license state is located at Nebraska. Aa Omaha Emergecny Dental Care Usa Inc physically located at 2605 S 84th St, Omaha NE, 68124-3116. NPI Number 1033115704 has the healthcare provider type.

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1104158948 NPI number is provided on an as is basis without warranty of any kind. 1104158948 is maintained by the National Plan & Provider Enumeration System. The contents of Aa Omaha Emergecny Dental Care Usa Inc are for informational purposes only.