Dental Yellow Pages

Dental Yellow Pages

Dentists, Dental Clinics and Practices
Oral Surgery, Dental Specialists

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GOOD LIFE DENTAL, P.C.

Dental Care Facilities

North Platte, Nebraska

Provider NPI: 1912376617

Organization Information:
Organization Name:  GOOD LIFE DENTAL, P.C.
Organization is not Subpart
Authorized Official:  KATE  WOLFORD WAWRZYNKIEWICZ  PRESIDENT  308-5320427

Practice Location:
302 S BAILEY AVE  NORTH PLATTE, NE 69101 US
Tel: 308-532-0427  Fax: --

Business Mailing Address:
302 S BAILEY AVE  NORTH PLATTE, NE 69101 US
Tel: --  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QD0000XAmbulatory Health Care Facilities
Clinic/Center
Dental
NE7079

Other Provider Identifiers:

IssuerNumberStateType
261QD0000XNE05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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