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Organization
CHERRY HILL DENTISTRY LLC
Active
Organization
CHERRY HILL DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY A KROEGER D.D.S. (DENTIST)
(402) 488-2383
Entity
Organization
Contact information
Practice address
249 CHERRY HILL BLVD, SUITE 5, LINCOLN, NE 68510-2602
(402) 488-2383
(402) 488-2384
Mailing address
249 CHERRY HILL BLVD, SUITE 5, LINCOLN, NE 68510-2602
(402) 488-2383
(402) 488-2384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3900
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025472600
—
NE
Enumeration date
01/11/2011
Last updated
01/11/2011
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