| Drsgm Llc | |
|
10520 S 204th St Ste C Gretna NE 68028-4185 | |
| (402) 277-9241 | |
| Not Available |
| Full Name | Drsgm Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10520 S 204th St Ste C, Gretna, Nebraska |
| Authorized Official Name and Position | Shayna Mattox (OWNER) |
| Authorized Official Contact | 4022779241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drsgm Llc 18328 Tyler St Omaha NE 68135-1773 Ph: () - | Drsgm Llc 10520 S 204th St Ste C Gretna NE 68028-4185 Ph: (402) 277-9241 |
| NPI Number | 1053185702 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053185702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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