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Organization

FREMONT DENTAL GROUP PC

Active
Other names
Fremont Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
VICENTA REYES (LEAD OF CREDENTIALING)
(972) 869-3789
Entity
Organization

Contact information

Practice address
1435 E 23RD ST, FREMONT, NE 68025-2433
(402) 727-9100
Mailing address
1435 E 23RD ST, FREMONT, NE 68025-2433
(402) 727-9100

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/28/2022
Last updated
03/28/2022
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