| Daryl E. Malena | |
|
10838 Old Mill Rd Ste 8 Omaha NE 68154-2649 | |
| (402) 330-4100 | |
| Not Available |
| Full Name | Daryl E. Malena |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 10838 Old Mill Rd Ste 8, Omaha, Nebraska |
| Authorized Official Name and Position | Daryl E. Malena (OWNER) |
| Authorized Official Contact | 4023304100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daryl E. Malena 10838 Old Mill Rd Ste 8 Omaha NE 68154-2649 Ph: (402) 330-4100 | Daryl E. Malena 10838 Old Mill Rd Ste 8 Omaha NE 68154-2649 Ph: (402) 330-4100 |
| NPI Number | 1790177020 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 02/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790177020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 3901 (Nebraska) | Primary |
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