KEVIN ROBERT FRUIN

GRAND ISLAND, NE
NPI1144262205
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NE  6194)
Enumeration Date2006-06-12
Last Update Date2007-07-13
Business Address
Dr. KEVIN ROBERT FRUIN DDS
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803-2153
Phone number: 308-382-3660
Mailing Address
Dr. KEVIN ROBERT FRUIN DDS
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803-2153
Phone number: 308-382-3660