Individual
JOHN DELAET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3810 A AVE STE D, KEARNEY, NE 68847-8171
(308) 234-9037
Mailing address
203 E 52ND ST, KEARNEY, NE 68847-8506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7530
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2019
Last updated
05/23/2019
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