Provider First Line Business Practice Location Address:
4000 E CAMPUS LOOP S
Provider Second Line Business Practice Location Address:
ORTHODONTIC RESIDENT, UNMC
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68583-2210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-802-5826
Provider Business Practice Location Address Fax Number:
415-476-3448
Provider Enumeration Date:
11/06/2023