DR. Philip Andrew Ehly, DDS

NPI #1568167294 in Gretna, Nebraska

Provider Information

NPI Number: 1568167294
Entity Type: Individual
Name: DR. Philip Andrew Ehly, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DDS
Enumeration Date: Apr 3, 2023
Last Updated: Apr 3, 2023

Practice Location

Address: 11812 STANDING STONE DR
City: Gretna
State: Nebraska
ZIP Code: 68028-7979
Phone: (402) 905-2880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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