Individual
DR. KIRK RUSSELL REICHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1219 13TH ST, AURORA, NE 68818-1606
(407) 694-4002
(402) 694-4003
Mailing address
1219 13TH ST, AURORA, NE 68818-1606
(407) 694-4002
(402) 694-4003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6024
NE
Other
Enumeration date
11/03/2005
Last updated
01/28/2022
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