Wilderness Station Pediatric Dentistry
Wilderness Station Pediatric Dentistry is a Dental Clinic/Center in Lincoln, Nebraska. Licensed in Nebraska. Registered with an NPI since 2007.
- Licensed in
- NE
- In the registry since
- 2007
Practice location Address checks out
8020 S 13th StLincoln, NE 68512-9371
Phone: (402) 420-8020
Fax: (402) 420-0367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 6492 (NE) |
|---|
Record details
| NPI number | 1568682052 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Martin Killeen — Doctor · (402) 420-8020 |
| NPI enumerated | April 26, 2007 |
| Last updated in NPPES | December 23, 2014 |
| Mailing address | 8020 S 13th St, Lincoln, NE 68512-9371 |
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