KOENTJORO DENTISTRY DODGE LLC

OMAHA, NE
NPI1659013456
Entity TypeOrganization
Authorized ContactALDO KOENTJORO
Owner
402-346-6800
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2022-04-12
Last Update Date2023-06-15
Business Address
KOENTJORO DENTISTRY DODGE LLC
7059 DODGE ST STE 102
OMAHA, NE 68132-2703
Phone number: 402-346-6800
Mailing Address
KOENTJORO DENTISTRY DODGE LLC
PO BOX 70887
CLEVELAND, OH 44190-0887
Phone number:
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