Provider First Line Business Practice Location Address:
3000 LINCOLN ST
Provider Second Line Business Practice Location Address:
BEATRICE STATE DEVELOPMENT CENTER DENTAL CLINIC
Provider Business Practice Location Address City Name:
BEATRICE
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68310-3319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-223-7246
Provider Business Practice Location Address Fax Number:
402-223-7589
Provider Enumeration Date:
08/17/2007