Summit Dental Health - Brentwood LLC

NPI #1154739613 in La Vista, Nebraska

Provider Information

NPI Number: 1154739613
Entity Type: Organization
Organization Name: Summit Dental Health - Brentwood LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 29, 2014
Last Updated: Jul 29, 2014

Practice Location

Address: 8041 S 83RD AVE
City: La Vista
State: Nebraska
ZIP Code: 68128-2490
Phone: (402) 884-1174

Authorized Official

Name: STEVE JAMES
Title: CFO
Phone: (502) 254-8504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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