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Individual

RICHARD LEE COKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
140 E 22ND ST, FREMONT, NE 68025-2667
(402) 727-9525
Mailing address
140 E 22ND ST, FREMONT, NE 68025-2667
(402) 727-9525

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4641
NE

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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