Summit Dental Health - Blondo LLC
NPI #1124418892 in Omaha, Nebraska
Provider Information
- NPI Number
- 1124418892
- Entity Type
- Organization
- Organization Name
- Summit Dental Health - Blondo LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 2, 2015
- Last Updated
- Feb 2, 2015
Practice Location
Authorized Official
- Name
- COREZ LOGAN
- Title
- CREDENTIALING SPECIALIST
- Phone
- (502) 254-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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