Organization
JOHNDREAU DENTAL LLC
Active
Other names
Main Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JOHNDREAU DDS (DENTIST/OWNER/MANAGER)
(402) 309-3033
Entity
Organization
Contact information
Practice address
805 PINECREST DR, CHADRON, NE 69337-2845
(308) 432-5626
Mailing address
PO BOX 71, CHADRON, NE 69337-0071
(308) 432-5626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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