Koentjoro Dentistry South Pointe LLC

NPI #1396313011 in Lincoln, Nebraska

Provider Information

NPI Number
1396313011
Entity Type
Organization
Organization Name
Koentjoro Dentistry South Pointe LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 17, 2021
Last Updated
Jun 20, 2023

Practice Location

Address
6835 S 27TH ST STE 2
ZIP Code
68512-4824
Phone
(531) 220-3940

Authorized Official

Name
ALDO KOENTJORO
Title
OWNER
Phone
(531) 220-3940

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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