Organization
RICHARD T. KRUEGER ET AL PTNR
Active
Other names
Chappell Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM KRUEGER (DENTIST)
(308) 874-2910
Entity
Organization
Contact information
Practice address
246 VINCENT AVE, CHAPPELL, NE 69129-9701
(308) 874-2910
(308) 874-2459
Mailing address
PO BOX 468, CHAPPELL, NE 69129-0468
(308) 874-2910
(308) 874-2459
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4753
NE
1223G0001X
General Practice Dentistry
Primary
4756
NE
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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