Individual
JAY ALAN KOCIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20024 GLENMORE DR, GRETNA, NE 68028-4651
(402) 916-9300
(402) 916-9931
Mailing address
20024 GLENMORE DR # SR, GRETNA, NE 68028-4651
(402) 916-9300
(402) 916-9931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7070
NE
Other
Enumeration date
05/22/2013
Last updated
11/13/2023
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