Organization · Type 2 NPI
Countryside Pediatric Dentistry
Dental Clinic/Center · York, NE
NPI number
1336986447
Active
Practice location
3310 S Cornhusker Dr
York, NE 68467
Mailing address
617 Road P
York, NE 68467-7555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in York
About NPI 1336986447
Countryside Pediatric Dentistry's National Provider Identifier is 1336986447, issued on Jul 15, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in York, NE. The record was last updated on Jul 15, 2024.