| My Pediatric Dentist West Maple Pc | |
|
14270 W Maple Rd Omaha NE 68164-2436 | |
| (402) 491-3100 | |
| Not Available |
| Full Name | My Pediatric Dentist West Maple Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14270 W Maple Rd, Omaha, Nebraska |
| Authorized Official Name and Position | Ryan Hajek (OWNER) |
| Authorized Official Contact | 6053547077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Pediatric Dentist West Maple Pc 3351 N 125th St Omaha NE 68164-4288 Ph: (605) 354-7077 | My Pediatric Dentist West Maple Pc 14270 W Maple Rd Omaha NE 68164-2436 Ph: (402) 491-3100 |
| NPI Number | 1033961982 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 04/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033961982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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