Individual
MRS. SARAH JEAN PLACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
425 N DIERS AVE, GRAND ISLAND, NE 68803-4910
(308) 381-4452
Mailing address
512 HARDY RD, SAINT LIBORY, NE 68872-3214
(308) 991-1818
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2018
NE
Other
Enumeration date
09/12/2019
Last updated
11/21/2020
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