Individual
DR. KETU P LINCOLN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(210) 441-0235
Mailing address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(210) 441-0235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019-025880
IL
1223P0700X
Prosthodontics
Primary
019025880
IL
Other
Enumeration date
01/10/2006
Last updated
05/03/2024
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