Superior Family Dental 107th

NPI #1174862684 in Omaha, Nebraska

Provider Information

NPI Number
1174862684
Entity Type
Organization
Organization Name
Superior Family Dental 107th
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 4, 2013
Last Updated
Feb 4, 2013

Practice Location

Address
10730 PACIFIC ST
Address 2
STE105
City
Omaha
ZIP Code
68114-4799
Phone
(402) 391-1047

Authorized Official

Name
DONALD G SMITH JR., DDS
Title
OWNER
Phone
(402) 391-1047

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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