Northeast Family Dental LLC

NPI #1578938122 in Lincoln, Nebraska

Provider Information

NPI Number
1578938122
Entity Type
Organization
Organization Name
Northeast Family Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 8, 2015
Last Updated
Dec 8, 2015

Practice Location

Address
1719 N COTNER BLVD
ZIP Code
68505-1356
Phone
(402) 420-7045

Authorized Official

Name
BONNIE GALL
Title
OFFICE ADMINISTRATOR
Phone
(402) 904-6005

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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