Aa Omaha Emergecny Dental Care USA INC
Dentist, General Practice in Omaha, NE. Organization (NPI-2).
NPI number1104158948
StatusActive
Last updated in NPPESMar 3, 2010
Details
- NPI
- 1104158948
- Entity type
- Organization (NPI-2)
- Legal business name
- Aa Omaha Emergecny Dental Care USA INC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2010
- Last updated
- Mar 3, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 5964 | NE | Yes |
Practice location
2605 S 84th StOmaha, NE 68124-3116
Phone 402-926-4411 · Fax 402-393-2902
Mailing address
1338 N 143rd Avenue CirOmaha, NE 68154-5108
Phone 402-597-1186 · Fax 402-332-4629
Authorized official
Michael K Obeng
Owner/President
4025971186
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