Individual
MAURICE JOHN KERSENBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
430 E EVERETT ST, ONEILL, NE 68763-1838
(402) 336-4211
Mailing address
430 E EVERETT ST, ONEILL, NE 68763-1838
(402) 336-4211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4971
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47064746700
—
NE
Enumeration date
10/14/2005
Last updated
12/13/2023
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