Provider First Line Business Practice Location Address:
ROOM 2433, UNMC COLLEGE OF DENTISTRY, 4000 EAST CAMPUS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68583
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-472-1118
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2016