Waterford Dental, LLC
NPI #1962125492 in Bennington, Nebraska
Provider Information
- NPI Number
- 1962125492
- Entity Type
- Organization
- Organization Name
- Waterford Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 20, 2022
- Last Updated
- Sep 20, 2022
Practice Location
- Address
- 15450 IDA STREET
- Address 2
- SUITE 100
- City
- Bennington
- State
- Nebraska
- ZIP Code
- 68007
- Phone
- (701) 799-6453
Authorized Official
- Name
- BRENT RISING, DDS
- Title
- OWNER
- Phone
- (701) 799-6453
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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