Individual
KERRI DITTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16136 CHERRYWOOD ST, OMAHA, NE 68136-1321
(402) 841-1802
Mailing address
16136 CHERRYWOOD ST., OMAHA, NE 68136
(402) 841-1802
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2177
NE
Other
Enumeration date
10/17/2012
Last updated
10/28/2012
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