Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | D1307 | SD |
NPI | 1275100315 |
---|---|
Provider Name | Dr. Cameron Mathias Aitken |
First Address | Omaha, NE 68107-1643 |
Second Address | Norfolk, NE 68701-2458 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2021 |
Last Update Date | 15/07/2021 |