Koentjoro & Le Dentistry PLC
Koentjoro & Le Dentistry PLC is a General Practice Dentistry in Council Bluffs, Iowa. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3617 Denmark Dr Ste 100Council Bluffs, IA 51501-7756
Phone: (712) 326-3205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1104494830 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Aldo Koentjoro — Owner · (712) 326-3205 |
| NPI enumerated | June 17, 2021 |
| Last updated in NPPES | June 24, 2021 |
| Certification date | June 24, 2021 |
| Mailing address | Po Box 3189, Syracuse, NY 13220-3189 |
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