NPI 1114524568

Janel Matyja, RDH

Practitioner Dental Hygienist Omaha, NE

Practice location

Address: 14406 Harrison St, Omaha, NE 68138-6521
Phone: (402) 333-1120

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 1699 (NE)

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Registry record

NPI: 1114524568
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Oct 2020
Record last updated: 7 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.