| Lanpharra Dentistry, LLC | |
|
5050 L St Omaha NE 68117-1329 | |
| (402) 731-5423 | |
| (402) 884-5955 |
| Full Name | Lanpharra Dentistry, LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5050 L St, Omaha, Nebraska |
| Authorized Official Name and Position | Jodene F Edmonds (OFFICE MANAGER) |
| Authorized Official Contact | 4027315423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lanpharra Dentistry, LLC 5050 L St Omaha NE 68117-1329 Ph: (402) 731-5423 | Lanpharra Dentistry, LLC 5050 L St Omaha NE 68117-1329 Ph: (402) 731-5423 |
| NPI Number | 1841883113 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 02/17/2021 |
| Certification Date | 02/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841883113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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