MIBOCA 1 LLC
NPI 1043818438
Clinic/Center - Dental in Omaha, NE
Active since October 16, 2020
About Miboca 1 Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIBOCA 1 LLC (NPI 1043818438) is a healthcare organization registered as a dental in Omaha, Nebraska and active in the NPI registry since October 2020. The organization lists Rafaela Monica Romero, Manager, as its authorized official.
NPPES Registry Identity
NPI1043818438
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMIBOCA 1 LLC
Location Address5305 S 96TH STOmaha, NE 68127-3317
Mailing Address5305 S 96th StOmaha, NE 68127-3317 · (402) 331-0701
Phone(402) 331-0701
Fax(402) 331-7130
Organization SubpartNo
Authorized OfficialRafaela Monica RomeroManager · (402) 331-0701
Enumeration DateOctober 16, 2020
NPPES CertifiedOctober 16, 2020
✔ NPI 1043818438 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
5305 S 96TH ST, Omaha, NE 68127
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043818438, enumerated as an "organization" on October 16, 2020.
The provider is located at 5305 S 96TH ST OMAHA, NE 68127 and the phone number is (402) 331-0701.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
