Provider First Line Business Practice Location Address:
4000 EAST CAMPUS LOOP SOUTH
Provider Second Line Business Practice Location Address:
DEPARTMENT OF ORTHODONTICS
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68583-0740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-472-4919
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2016