KOENTJORO DENTISTRY LINCOLN LLC

LINCOLN, NE
NPI1912576471
Entity TypeOrganization
Authorized ContactALDO KOENTJORO
Owner
402-475-0070
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2021-06-21
Last Update Date2023-06-20
Business Address
KOENTJORO DENTISTRY LINCOLN LLC
4960 O ST
LINCOLN, NE 68510-1957
Phone number: 402-475-0070
Mailing Address
KOENTJORO DENTISTRY LINCOLN LLC
PO BOX 70887
CLEVELAND, OH 44190-0887
Phone number:
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