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6930 L St Suite B Lincoln NE 68510-2411 | |
| (402) 489-6547 | |
| (402) 420-7045 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6930 L St, Lincoln, Nebraska |
| Authorized Official Name and Position | Bonnie Gall (OFFICE MANAGER) |
| Authorized Official Contact | 4029046005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6040 Village Dr Suite B Lincoln NE 68516-6640 Ph: (402) 420-2222 | 6930 L St Suite B Lincoln NE 68510-2411 Ph: (402) 489-6547 |
| NPI Number | 1770039265 |
|---|---|
| Provider Enumeration Date | 08/25/2016 |
| Last Update Date | 08/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770039265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5965 (Nebraska) | Primary |
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