Ponca Family Dentistry

NPI #1164842191 in Ponca, Nebraska

Provider Information

NPI Number: 1164842191
Entity Type: Organization
Organization Name: Ponca Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Apr 17, 2014
Last Updated: Apr 17, 2014

Practice Location

Address: 213 EAST STREET
City: Ponca
State: Nebraska
ZIP Code: 68770-0658
Phone: (402) 755-2291

Authorized Official

Name: NATALIE A FENDRICK, DDS
Title: OWNER
Phone: (402) 755-2291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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