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

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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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.