Williamsburg Dental LLC

NPI #1043727092 in Lincoln, Nebraska

Provider Information

NPI Number
1043727092
Entity Type
Organization
Organization Name
Williamsburg Dental LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WILLIAMSBURG DENTAL LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 29, 2017
Last Updated
Dec 29, 2017

Practice Location

Address
1265 S COTNER BLVD
ZIP Code
68510-4975
Phone
(402) 420-2222

Authorized Official

Name
BONNIE L GALL
Title
CLINICAL COORDINATOR
Phone
(402) 904-6005

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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