Mpda Bridgeport LLC
NPI #1336966795 in Bridgeport, Nebraska
Provider Information
- NPI Number
- 1336966795
- Entity Type
- Organization
- Organization Name
- Mpda Bridgeport LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 25, 2024
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 1006 MAIN ST
- City
- Bridgeport
- State
- Nebraska
- ZIP Code
- 69336-4035
- Phone
- (308) 262-1434
Authorized Official
- Name
- BENJAMIN LASHLEY, DDS
- Title
- PARTNER
- Phone
- (308) 534-1289
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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