Sedillo Mobile DDS NE LLC
NPI #1366213258 in Fort Calhoun, Nebraska
Provider Information
- NPI Number
- 1366213258
- Entity Type
- Organization
- Organization Name
- Sedillo Mobile DDS NE LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 10, 2024
- Last Updated
- Jan 10, 2024
Practice Location
- Address
- 5884 HIGH PASTURE DR
- City
- Fort Calhoun
- State
- Nebraska
- ZIP Code
- 68023-8201
- Phone
- (402) 237-2163
Authorized Official
- Name
- JESSICA ANN OLIVARES
- Title
- OFFICE MANAGER
- Phone
- (712) 326-4860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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