Skyline Pediatric Dentistry LLC

NPI #1699046847 in Elkhorn, Nebraska

Provider Information

NPI Number
1699046847
Entity Type
Organization
Organization Name
Skyline Pediatric Dentistry LLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jan 19, 2012
Last Updated
Jan 19, 2012

Practice Location

Address
1405 N 205TH ST
Address 2
SUITE 100
ZIP Code
68022-4740
Phone
(402) 289-1574

Authorized Official

Name
VINCENT ROTHE
Title
OWNER
Phone
(402) 289-1574

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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