Individual
CLAIRE CHRISTINE KOUKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 740-5385
Mailing address
985163 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-5164
(402) 559-6100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7389
NE
Other
Enumeration date
06/28/2017
Last updated
04/18/2024
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