Mpda Ogallala LLC

NPI #1851199830 in Ogallala, Nebraska

Provider Information

NPI Number: 1851199830
Entity Type: Organization
Organization Name: Mpda Ogallala LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 5, 2025
Last Updated: Mar 5, 2025

Practice Location

Address: 115 E 2ND ST
City: Ogallala
State: Nebraska
ZIP Code: 69153-2526
Phone: (308) 284-2961

Authorized Official

Name: BENJAMIN LASHLEY
Title: OWNER
Phone: (308) 534-1289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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