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Individual

DR. MITCHELL RYAN KAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4830 SAINT PAUL AVE, LINCOLN, NE 68504-2661
(024) 662-2114
Mailing address
4830 SAINT PAUL AVE, LINCOLN, NE 68504-2661
(402) 466-2211

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D011367
AZ
1223G0001X
General Practice Dentistry
Primary
7906
NE

Other

Enumeration date
05/23/2022
Last updated
11/21/2023
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