Walnut Creek Pediatric Dentistry

NPI 1598908279 - Dentist - 1223P0221X

NPI Details
NPI 1598908279
Enumeration Date 04/11/2009
Last Updated 05/18/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name BARRY BARRY
Position PRESIDENT, OWNER
Phone (402) 590-2018
Fax (402) 590-2019
Practice Location
11336 S 96TH ST STE 111
PAPILLION NE, 68046-4211, US
Phone (402) 590-2018
Fax (402) 590-2019
Business Location
11336 S 96TH ST STE 111
PAPILLION NE, 68046-4211, US
Phone (402) 590-2018
Fax (402) 590-2019
Toxanomy
Taxonomy Code 1223P0221X
License State Nebraska
License Number 6743
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According to our database, Walnut Creek Pediatric Dentistry NPI is 1598908279, taxonomy code is 1223P0221X and license number is 6743, license state is located at Nebraska. Walnut Creek Pediatric Dentistry physically located at 11336 S 96th St Ste 111, Papillion NE, 68046-4211. NPI Number 1033115704 has the healthcare provider type.

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1598908279 NPI number is provided on an as is basis without warranty of any kind. 1598908279 is maintained by the National Plan & Provider Enumeration System. The contents of Walnut Creek Pediatric Dentistry are for informational purposes only.