| Sedillo Mobile Dds Ne Llc | |
|
5884 High Pasture Dr Fort Calhoun NE 68023-8201 | |
| (402) 237-2163 | |
| Not Available |
| Full Name | Sedillo Mobile Dds Ne Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5884 High Pasture Dr, Fort Calhoun, Nebraska |
| Authorized Official Name and Position | Jessica Ann Olivares (OFFICE MANAGER) |
| Authorized Official Contact | 7123264860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sedillo Mobile Dds Ne Llc 5884 High Pasture Dr Fort Calhoun NE 68023-8201 Ph: (402) 237-2163 | Sedillo Mobile Dds Ne Llc 5884 High Pasture Dr Fort Calhoun NE 68023-8201 Ph: (402) 237-2163 |
| NPI Number | 1366213258 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 01/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366213258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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