Today's Dental 74th Plaza, LLC

NPI #1407411507 in Omaha, Nebraska

Provider Information

NPI Number: 1407411507
Entity Type: Organization
Organization Name: Today's Dental 74th Plaza, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 3, 2019
Last Updated: May 3, 2019

Practice Location

Address: 900 S 74TH PLZ STE 300
City: Omaha
State: Nebraska
ZIP Code: 68114-4667
Phone: (402) 884-1002

Authorized Official

Name: BRENT RISING
Title: OWNER DENTIST
Phone: (701) 799-6453

Specialties & Taxonomy Codes

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

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