Individual
MRS. TERESA M ONDRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
401 5TH STREET, OVERTON, NE 68863-0264
(308) 987-2437
Mailing address
1511 LIBERTY DR., LEXINGTON, NE 68850
(308) 324-7348
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
288
NE
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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