South Omaha Dental Group

NPI #1881608156 in Ralston, Nebraska

Provider Information

NPI Number: 1881608156
Entity Type: Organization
Organization Name: South Omaha Dental Group
Primary Specialty: Dentist
Enumeration Date: Jul 29, 2006
Last Updated: Jun 18, 2008

Practice Location

Address: 5360 S 72ND ST
City: Ralston
State: Nebraska
ZIP Code: 68127-2876
Phone: (402) 733-4441

Authorized Official

Name: DR. FRANK NORMAN VARON, D.D.S.
Title: OWNER
Phone: (402) 733-4441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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