| NPI | 1427353168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY A KROEGER Dentist 402-488-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 3900) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |