Individual
DR. WILL P GUDENRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2430 S 73RD ST, OMAHA, NE 68124-2397
(402) 991-9243
Mailing address
7517 HASCALL ST, OMAHA, NE 68124-3442
(402) 238-4928
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7557
NE
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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