KOENTJORO & LE DENTISTRY PLC

COUNCIL BLUFFS, IA
NPI1104494830
Entity TypeOrganization
Authorized ContactALDO KOENTJORO
Owner
712-326-3205
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2021-06-17
Last Update Date2021-06-24
Business Address
KOENTJORO & LE DENTISTRY PLC
3617 DENMARK DR STE 100
COUNCIL BLUFFS, IA 51501-7756
Phone number: 712-326-3205
Mailing Address
KOENTJORO & LE DENTISTRY PLC
PO BOX 3189
SYRACUSE, NY 13220-3189
Phone number:
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