KOENTJORO DENTISTRY, DDS, LLC

OMAHA, NE
NPI1245605153
Entity TypeOrganization
Authorized ContactALDO KOENTJORO
Owner
402-972-4400
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NE  6963)
Enumeration Date2015-12-03
Last Update Date2015-12-03
Business Address
KOENTJORO DENTISTRY, DDS, LLC
3225 OAK VIEW DR
OMAHA, NE 68144-5627
Phone number: 402-972-4400
Mailing Address
KOENTJORO DENTISTRY, DDS, LLC
PO BOX 3189
SYRACUSE, NY 13220-3189
Phone number: 315-454-6000
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