DR. Aldo Koentjoro, D.D.S
NPI #1366738924 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1366738924
- Entity Type
- Individual
- Name
- DR. Aldo Koentjoro, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S
- Enumeration Date
- Jun 22, 2011
- Last Updated
- Jun 22, 2011
Practice Location
- Address
- 206 WILMAR AVE
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803-3559
- Phone
- (308) 384-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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