Individual
MRS. SAMANTHA J. MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
15813 CW HADAN DR., BENNINGTON, NE 68007-2017
(402) 238-9922
(402) 238-2424
Mailing address
15813 CW HADAN DR., BENNINGTON, NE 68007-2017
(402) 238-9922
(402) 238-2424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12012509A
IN
1223G0001X
General Practice Dentistry
Primary
7446
NE
Other
Enumeration date
06/01/2016
Last updated
02/26/2019
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