Provider Demographics
NPI:1073221768
Name:LAYNUTZA LLC
Entity Type:Organization
Organization Name:LAYNUTZA LLC
Other - Org Name:GATEWAY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAYUSIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CIOBANU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:402-309-5436
Mailing Address - Street 1:3210 S 81ST ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-7339
Mailing Address - Country:US
Mailing Address - Phone:402-309-5436
Mailing Address - Fax:
Practice Address - Street 1:770 N COTNER BLVD STE 202
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2344
Practice Address - Country:US
Practice Address - Phone:402-434-2360
Practice Address - Fax:402-434-2361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental