Preserve Family Dentistry LLC
Dentist in Lincoln, NE. Organization (NPI-2).
NPI number1336673136
StatusActive
Last updated in NPPESApr 24, 2017
Details
- NPI
- 1336673136
- Entity type
- Organization (NPI-2)
- Legal business name
- Preserve Family Dentistry LLC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2017
- Last updated
- Apr 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
4303 S 84th StLincoln, NE 68516-4403
Phone 402-413-7000
Mailing address
4303 S 84th StLincoln, NE 68516-4403
Phone 402-413-7000
Authorized official
Bradley Roland Alderman
President
4024137000
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