Individual
DR. KRISTEN RAE HERMANSEN-RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2602 18TH AVE, CENTRAL CITY, NE 68826-9761
(308) 946-3059
Mailing address
2321 13TH RD, CENTRAL CITY, NE 68826-8039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6693
NE
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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