Organization
KEARNEY PEDIATRIC DENTISTRY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT J CARRANZA PEDIATRIC DENTIST (OWNER)
(308) 236-5437
Entity
Organization
Contact information
Practice address
218 W 39TH ST, KEARNEY, NE 68845-2802
(308) 236-5437
Mailing address
218 W 39TH ST, KEARNEY, NE 68845-2802
(308) 236-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6781
NE
Other
Enumeration date
05/30/2017
Last updated
07/21/2022
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