Organization · Type 2 NPI
Kelsey Periodontal Group, LLC
Dental Clinic/Center · Omaha, NE
NPI number
1831423177
Active
Practice location
17785 Mason St, Suite 103
Omaha, NE 68118-3526
Fax (402) 934-4760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 6632 (NE) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1831423177
Kelsey Periodontal Group, LLC's National Provider Identifier is 1831423177, issued on Sep 18, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Omaha, NE. The record was last updated on Sep 18, 2009.