Provider First Line Business Practice Location Address:
4000 E CAMPUS LOOP
Provider Second Line Business Practice Location Address:
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-422-2098
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/24/2025