Organization · Type 2 NPI
Miboca2llc
Dental Clinic/Center · Omaha, NE
NPI number
1336875574
Active
Practice location
17925 Barker Ct, Ste 100
Omaha, NE 68118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1336875574
Miboca2llc's National Provider Identifier is 1336875574, issued on Jul 29, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Omaha, NE. The record was last updated on Jul 29, 2022.