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718 6th St Saint Paul NE 68873-2015 | |
| (308) 754-4296 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 718 6th St, Saint Paul, Nebraska |
| Authorized Official Name and Position | Charles S. Skoglund (OWNER) |
| Authorized Official Contact | 4026443177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
718 6th St Saint Paul NE 68873-2015 Ph: (308) 754-4296 | 718 6th St Saint Paul NE 68873-2015 Ph: (308) 754-4296 |
| NPI Number | 1376876193 |
|---|---|
| Provider Enumeration Date | 09/11/2009 |
| Last Update Date | 09/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376876193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |