Individual
DR. ROGER TRENT MINNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
639 W LEGION ST, WAUNETA, NE 69045-0104
(308) 394-5188
(308) 394-5189
Mailing address
PO BOX 104, WAUNETA, NE 69045-0104
(308) 394-5188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4612
NE
Other
Enumeration date
06/08/2006
Last updated
12/05/2008
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