Koentjoro Dentistry, DDS, LLC
Koentjoro Dentistry, DDS, LLC is a General Practice Dentistry in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2015.
- Licensed in
- NE
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3225 Oak View DrOmaha, NE 68144-5627
Phone: (402) 972-4400
Fax: (402) 330-4591
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 6963 (NE) |
|---|
Record details
| NPI number | 1245605153 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Aldo Koentjoro — Owner · (402) 972-4400 |
| NPI enumerated | December 3, 2015 |
| Last updated in NPPES | December 3, 2015 |
| Mailing address | Po Box 3189, Syracuse, NY 13220-3189 |
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